2例长段缺失型食管闭锁新生儿行食管牵引手术的术后护理

doi:10.3761/j.issn.0254-1769.2026.16.015

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (16): 2264-2269.DOI: 10.3761/j.issn.0254-1769.2026.16.015

2例长段缺失型食管闭锁新生儿行食管牵引手术的术后护理

黄维¹(), 史小曼², 徐正娣², 魏薇², 陆超³, 徐晶晶¹^,^*(), 纪婕¹

¹ 南京医科大学第一附属医院护理部南京市 210029
² 南京医科大学第一附属医院心脏大血管外科四病区小儿胸心外科南京市 210029
³ 南京医科大学第一附属医院儿科南京市 210029

收稿日期:2025-10-21 出版日期:2026-08-20 发布日期:2026-08-14
*通讯作者: 徐晶晶，E-mail：dsnxjj@njmu.edu.cn
作者简介:黄维：女，本科，副主任护师，E-mail：huangwei7774@jsph.org.cn
第一联系人：作者贡献声明
黄维：研究设计、资料收集及分析、文献检索、撰写论文；史小曼、徐正娣、魏薇：资料收集、参与患儿治疗及护理；陆超：研究指导、参与患儿治疗；徐晶晶：研究指导、论文审阅；纪婕：选题指导
基金资助:
第三周期江苏省妇幼健康重点学科建设项目(苏卫办妇幼〔2021〕9号)

Postoperative nursing care of 2 newborns with long-gap esophageal atresia undergoing esophageal elongation

HUANG Wei¹(), SHI Xiaoman², XU Zhengdi², WEI Wei², LU Chao³, XU Jingjing¹^,^*(), JI Jie¹

¹ Department of Nursing， the First Affiliated Hospital of Nanjing Medical University， Nanjing 210029， China
² Department of Cardiovascular Surgery Ward 4-Pediatric Thoracic and Cardiac Surgery， the First Affiliated Hospital of Nanjing Medical University， Nanjing 210029， China
³ Department of Pediatrics， the First Affiliated Hospital of Nanjing Medical University， Nanjing 210029， China

Received:2025-10-21 Online:2026-08-20 Published:2026-08-14
* Corresponding author: XU Jingjing，E-mail：dsnxjj@njmu.edu.cn
Funding program:
The Third Cycle of Key Discipline Construction Program for Maternal and Child Health of Jiangsu Province(Su Wei Ban Fu You〔2021〕9)

摘要/Abstract

摘要：

总结2例长段缺失型食管闭锁新生儿行食管牵引手术的术后护理经验。护理要点：加强体位护理与牵引缝线评估；加强镇静镇痛管理，维持牵引系统稳定；强化牵引线周围皮肤护理，防止发生皮肤压力性损伤；持续低负压食管近侧盲端引流，预防吸入性肺炎；以牵引系统稳定为前提，实施精细化肺部护理方案；优化喂养护理，尽早实现完全经口喂养；提供多样式延续性护理，赋能患儿家庭。经过多学科团队的精心诊疗及护理，2例患儿分别于食管牵引术后第58、44天康复出院，随访良好。

关键词: 食管闭锁, 新生儿, 儿科护理学, 围手术期护理

Abstract:

This study summarized the postoperative care experiences of 2 newborns with long-gap esophageal atresia who underwent esophageal traction surgery. Key points of care included：strengthening postural care and the evaluation of traction suture；strengthening sedation and analgesia management to maintain stability of the traction system; enhancing skin care around the traction lines to avoid pressure injuries；applying continuous low negative pressure drainage of the proximal esophagus to prevent aspiration pneumonia; implementing refined pulmonary care protocols with absolute traction line safety；enhancing feeding care to achieve complete oral feeding as early as possible； providing diverse forms of continuous care to empower the family of sick children. Through meticulous treatment and care by a multidisciplinary team，both infants recovered and were discharged from the hospital at 58 and 44 days after esophageal traction surgery，with satisfactory follow-up outcome.

Key words: Esophageal Atresia, Newborn, Pediatric Nursing, Perioperative Nursing

黄维, 史小曼, 徐正娣, 魏薇, 陆超, 徐晶晶, 纪婕. 2例长段缺失型食管闭锁新生儿行食管牵引手术的术后护理[J]. 中华护理杂志, 2026, 61(16): 2264-2269.

HUANG Wei, SHI Xiaoman, XU Zhengdi, WEI Wei, LU Chao, XU Jingjing, JI Jie. Postoperative nursing care of 2 newborns with long-gap esophageal atresia undergoing esophageal elongation[J]. Chinese Journal of Nursing, 2026, 61(16): 2264-2269.

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2例长段缺失型食管闭锁新生儿行食管牵引手术的术后护理

Postoperative nursing care of 2 newborns with long-gap esophageal atresia undergoing esophageal elongation

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