1例食管癌患者术后继发皮下气肿气道的护理

李 佳佳, 李 　博, 任 　敬, 郭 　皓
邯郸市中心医院

摘要


总结1例食管癌患者术后继发皮下气肿的气道的护理经验，护理要点包括气道管路的管理，肠内营养的支
持方案，个体化镇静镇痛。经过精心的治疗和护理，37天后康复出院。

关键词


食管癌；皮下气肿；气道；护理

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参考


[1]王琦.食管癌术后胸腔引流管的护理[J].实用临床

医药杂志，2010，14：9-10.

[2]Medeiros B.Subcutaneous emphysema,a different way

to diagnose[J].Rev Assoc Med Bras(1992),2018,64(2):159-

163.

[3]Elhakim TS,Abdul HS,Romero CP et al.Spontaneous

pneumomediastinum,pneumothorax and subcutaneous

emphysema in COVID-19 pneumonia:a rare case and

literature review[J].BMJ Case Rep,2020,13(12):e239489.

[4]Zouk AN,Batra H.Managing complications of

percutaneous tracheostomy and gastrostomy[J].J Thorac

Dis,2021,13(8):5314-5330.

[5]AARC Clinical Practice Guidelines. Endotracheal

suctioning of mechanically ventilated patients with artificial

airways2010[J]. Respir Care,2010,55(6):758-764.

[6]De Leyn P, Bedert L, Delcroix M, et al.

Tracheotomy:clinical review and guidelines[J]. European

Journal of Cardio-Thoracic Surgery, 2007,32(3):412-421.

[7]JIE B , JIANG Z M , NOLAN M T , et al . Impact

of preoperative nutritional support on clinical outcome in

abdominal surgical patients at nutritional risk [J]. Nutrition

,2012,28(10):1022-1027.

[8]LE B , FLIER S , MADILL J , et al . Malnutrition

risk , outcomes , and costs among older adults undergoing

elective surgical procedures : A retrospective cohort study [J].

Nutr Clin Pract ,2023,38(5):1045-1062.

[9]MUSCARITOLI M , KRZNARIC ' Z , SINGER

P , et al . Effectiveness and efficacy of nutritional therapy : a

systematic review following Cochrane methodology [J]. Clin

Nutr ,2017,36(4):939-957.

[10]RINNINELLA E , BIONDI A , CINTONI M ,

et al . NutriCatt Protocol improves body composition and

clinical outcomes in elderly patients undergoing colorectal

surgery in ERAS program : a retrospective cohort study [J].

Nutrients ,2021,23,13(6):1781.

[11]KISS CM , BYHAM - GRAY L , DENMARK R

, et al . The impact of implementation of a nutrition support

algorithm on nutrition care outcomes in an intensive care unit

[J]. Nutr Clin Pract ,2012,27(6):793-801.

[12]中国营养学会. 中国居民膳食指南（2016）[M].

北京：人民卫生出版社，2018.

[13]Chinese Nutrition Society. Dietary guidelines for

Chinese residents（2016）[M]. Beijing: People’s Health

Publishing House, 2018.

[14]黄絮，詹庆元.呼吸机相关肺损伤的发生机制和

处理对策[J].中华结核和呼吸杂志，2014，37（6）：471-

473.DOl：10.3760/cma.j.issn.1001-0939.2014.06.026.


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