1例高位气管支架经皮外固定术后并发缝线断裂患者的急救护理

doi:10.3761/j.issn.0254-1769.2026.13.016

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (13): 1845-1848.DOI: 10.3761/j.issn.0254-1769.2026.13.016

1例高位气管支架经皮外固定术后并发缝线断裂患者的急救护理

胡娟娟¹(), 周妮娅¹, 凌银楼¹, 徐善祥²^,^*()

¹ 浙江大学医学院附属第二医院护理部杭州市 310009
² 浙江大学医学院附属第二医院急诊医学科杭州市 310009

收稿日期:2026-03-07 出版日期:2026-07-10 发布日期:2026-07-01
*通讯作者: 徐善祥，E-mail：2201027@zju.edu.cn
作者简介:胡娟娟：女，本科（硕士在读），主管护师，E-mail：22518484@zju.edu.cn
第一联系人：作者贡献声明
胡娟娟：选题设计、论文撰写；周妮娅：资料收集、文献检索；凌银楼：论文撰写、论文修改；徐善祥：论文审阅和修改

Emergency nursing for suture breakage after percutaneous external fixation of a high tracheal stent：a case report

HU Juanjuan¹(), ZHOU Niya¹, LING Yinlou¹, XU Shanxiang²^,^*()

¹ Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China
² Emergency Medicine Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China

Received:2026-03-07 Online:2026-07-10 Published:2026-07-01
* Corresponding author: XU Shanxiang，E-mail：2201027@zju.edu.cn

摘要/Abstract

摘要：

总结1例气管食管瘘患者因高位气管支架反复移位，行经皮外固定术后出现缝线断裂致支架再次移位的急救护理体会。护理要点：采取多指标联合监测，早期识别支架移位征象；迅速启动支架移位应急预案，应对困难气道梗阻风险；二次外固定术后支架再移位的预防护理；优化营养支持协同血糖管理，促进瘘口修复。经上述系统干预，患者住院42 d后顺利出院，于2周后成功置换Y型定制支架。

关键词: 气管食管瘘, 气管支架, 支架移位, 经皮外固定, 缝线断裂, 急救护理

Abstract:

To summarize the emergency nursing care of a patient with tracheoesophageal fistula who developed stent migration due to suture breakage after percutaneous external fixation of a high tracheal stent. The key nursing interventions included performing combined monitoring of multiple indicators for early identification of stent migration，promptly initiating an emergency response plan for stent migration to manage the risk of airway obstruction in a difficult airway，implementing protective preventive care after secondary external fixation to reduce the risk，and optimizing nutritional support in coordination with glycemic management to promote fistula healing. After these interventions，the patient was successfully discharged after 42 days of hospitalization，and the Y-shaped customized stent was successfully replaced after 2 weeks.

Key words: Tracheoesophageal Fistula, Tracheal Stent, Stent Displacement, Percutaneous External Fixation, Suture Breakage, Emergency Care

胡娟娟, 周妮娅, 凌银楼, 徐善祥. 1例高位气管支架经皮外固定术后并发缝线断裂患者的急救护理[J]. 中华护理杂志, 2026, 61(13): 1845-1848.

HU Juanjuan, ZHOU Niya, LING Yinlou, XU Shanxiang. Emergency nursing for suture breakage after percutaneous external fixation of a high tracheal stent：a case report[J]. Chinese Journal of Nursing, 2026, 61(13): 1845-1848.

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1例高位气管支架经皮外固定术后并发缝线断裂患者的急救护理

Emergency nursing for suture breakage after percutaneous external fixation of a high tracheal stent：a case report

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