中华护理杂志 ›› 2023, Vol. 58 ›› Issue (21): 2645-2649.DOI: 10.3761/j.issn.0254-1769.2023.21.012

• 个案研究 • 上一篇    下一篇

1例喉移植术患者的护理

庞芳(), 周川茹, 刘欢, 张耀丹, 杜爱平()   

  1. 610041 成都市 四川大学华西医院重症医学科
  • 收稿日期:2023-06-12 出版日期:2023-11-10 发布日期:2023-11-10
  • 通讯作者: 杜爱平,E-mail:47751883@qq.com
  • 作者简介:庞芳:女,本科,护师,E-mail:pcpangfang85@163.com
  • 基金资助:
    四川省科技计划项目(2022JDR0204);四川大学华西医院护理学科发展专项基金项目(HXHL21048)

A nursing case report of a patient undergoing laryngeal transplantation

PANG Fang(), ZHOU Chuanru, LIU Huan, ZHANG Yaodan, DU Aiping()   

  • Received:2023-06-12 Online:2023-11-10 Published:2023-11-10

摘要:

总结1例因喉癌行喉移植术患者的护理经验。该病例由多学科团队协作制订重症监护管理方案,通过实施精细化气道护理,专业化颈部切口护理,精准免疫抑制剂的使用管理,床旁超声监测营养支持情况,个体化心理护理,吞咽、言语及机体功能的早期康复,甲状腺功能及高血糖监测与护理等措施,患者ICU入住23 d,住院40 d后顺利出院。

关键词: 喉癌, 喉移植, 多学科团队

Abstract:

To summarize the nursing experience of a patient undergoing laryngeal transplantation due to laryngeal cancer. The case involved the development of a critical care management plan by a multidisciplinary team. By implementing nursing measures such as refined airway care,professional neck wound complication management,precise administration of immunosuppressants,ultrasound monitoring for nutritional management assurance,individualized psychological care,early rehabilitation of swallowing,speech and body function,thyroid function and hyperglycemia monitoring and other measures,the patient stayed in ICU for 23 days post-surgery and discharged after 40 days from admission.

Key words: Laryngeal Cancer, Laryngeal Transplantation, Multidisciplinary Teams