关键词: 老年人, 食管裂孔疝, 喉肿瘤, 护理

Abstract:

To summarize the nursing experience of an elderly postoperative laryngeal cancer patient who developed a Type IV hiatal hernia. Key nursing care points included the monitoring of shock index and MEWS to promptly activate the rapid response team and implement the Surviving Sepsis Campaign，active fluid resuscitation and continuous monitoring of central venous pressure to prevent cardiopulmonary failure，implementing a personalized postoperative respiratory rehabilitation plan to promote lung re-expansion and prevent pulmonary infection，monitoring and controlling intra-abdominal hypertension，and implementing an intra-abdominal pressure-guided enteral nutrition management plan，employing a restrictive fluid management strategy to reduce tissue edema and maintain fluid and electrolyte balance，implementing an integrated “hospital-community-home” health management plan to improve the patient’s quality of life. The patient was hospitalized for 23 days and discharged smoothly，with good recovery after a 3-month follow-up.

Key words: Aged, Hiatal Hernia, Laryngeal Neoplasms, Nursing Care