1例先天性右位主动脉弓并发食管癌患者术后发生感染性休克合并早期吻合口瘘的护理

doi:10.3969/j.issn.2095-378X.2023.02.018

Abstract

Abstract: To summarize the nursing experience of one patient with congenital right aortic arch complicated with esophageal cancer who developed septic shock and early anastomotic leakage after operation. Postoperative care for septic shock and anastomotic fistula was actively implemented with symptomatic treatment and an personalized nursing plan was formulated. After careful treatment and nursing, the patient was cured and discharged 19 days after operation.

Key words: Esophageal cancer, Congenital right aortic arch, Septic shock, Early anastomotic leakage

CLC Number:

R473

GUO Xian, MO Xia, SHEN Lei, XU Ting. Nursing care of a patient with congenital right aortic arch complicated with esophageal cancer who developed septic shock and early anastomotic leakage after operation[J]. Surgical Research and New Technique, 2023, 12(2): 149-152.

References

[1] Chen W, Zheng R, Baade PD, et al.Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2): 115-132.
[2] Jeffrey P, Kanne J, David G.Right aortic arch and its variants[J]. J Cardiovasc Comput Tomogr, 2010, 4(5): 293-300.
[3] 吴美君,李冬梅,莫小雨.食管癌术后吻合口瘘发生的危险因素分析及护理干预[J].中国中国实用医药,2019,14(12):158-159.
[4] 中国中国急诊感染性休克临床实践指南[J].中华中华急诊医学杂志,2016,25(3):274-287.
[5] Wang J,Zhang B,Meng J,et al.Analysis of risk factors for postoperative complications and prognostic predictors of diseasere currence following definitive treatment of patients with esophageal cancer from two medical centers in Northwest China[J].Exp Ther Med, 2017, 14(3): 2584-2594.
[6] 聂洪鑫,杨思豪,刘洪刚,等.围术期食管癌术后食管胃吻合口瘘的危险因素及预测模型的建立 [J/OL].(2022-05-19)[2023-01-12].http://kns.cnki.net/kcms/detail/51.1492.R. 20220518.1139.012.html
[7] 靳智勇,任海燕,梁俊国.肠内营养辅助治疗对食管癌患者术后吻合口瘘的预防及对免疫能力、愈合进程及营养恢复的影响[J].中国中国免疫学杂志,2017,33(7):1076-1081.
[8] 王亚萍,韩佳佳,王琳华.围手术期营养对食管癌患者患者吻合口漏的影响[J].中西医结合心血管病电子杂志,2020,8(34):81-83.
[9] 刘玲,陈英,喻红.基于快速康复外科的全程营养管理模式在食管癌患者患者围术期的应用[J].护理研究,2022,36(3):490-494.
[10] 李增宁,陈伟,齐玉梅,等.恶性肿瘤患者膳食营养处方专家共识[J].肿瘤代谢与营养电子杂志,2017,4(4):397-408.
[11] 葛凯杰,孟佳,吴超,等.针刺联合新斯的明足三里穴位注射治疗慢性阻塞性肺疾病急性加重期机械通气并发胃肠功能障碍临床研究[J].新中医,2021,53(11):128-131.
[12] 通晴,胡苏.足三里穴位注射新斯的明联合大承气汤对脓毒症患者胃肠功能的影响及其机制探讨[J].中国中国中医急症,2017,26(6):1052-1055.
[13] 李凯薇,孙玺荣.大便失禁患者失禁性皮炎的护理研究现状[J].当代护士(上旬刊),2021,28(11):32-34.
[14] 袁秀群,孟晓红,杨艳.失禁性皮炎护理的研究进展[J].解放军护理杂志,2017,34(9):51-55.
[15] 曾志虹,张宝林.康惠尔透明贴在胸部护板固定肋骨骨折致皮肤张力性水泡患者的应用效果[J].黑龙江科学,2020,11(18):42-43.
[16] 罗慧红. 视网膜脱离术后俯卧位患者球结膜水肿的护理体会[J].中国中国实用医药,2017,12(16):154-156.
[17] 樊慧丽,朱迎,康海全,等.产碳青霉烯酶高毒力肺炎克雷伯菌分子特征研究及临床护理策略 [J].中华中华医院感染学杂志,2018,28(8):1126-1130-1138.
[18] 刘晁含,付沫,丁娟,等.危重患者院内转运的最佳证据总结[J].护理学报,2020,27(15):33-38.
[19] 王慧芳. 危重患者院内转运护理质量评价指标体系的构建及临床应用 [D].青岛大学,2020.
[20] 高健,刘晓颖,史冬雷.《急诊危重患者院内转运共识》解读—标准化分级转运方案的实施[J].中国中国急救医学. 2017,37(6):485-487.
[21] 李尊柱,孙红,吴欣娟,等.新型冠状病毒肺炎重症、危重症患者院内转运专家共识[J].协和医学杂志,2020,11(6):676-681.
[22] Hastreiter AR, D’Cruz IA, Cantez T, et al.Right-sided aorta.Ⅰ.Occurrence of right aortic arch in various types of congenital heart disease.Ⅱ.Right aortic arch, right descending aorta, and associated anomalies[J].Br Heart J, 1966, 28(6): 722-739.

Nursing care of a patient with congenital right aortic arch complicated with esophageal cancer who developed septic shock and early anastomotic leakage after operation

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 5

Recommended Articles

Metrics

Comments

[1]	TENG Jingyan, ZHANG Qiang, SHANG Pan, LI Guiya, YUAN Hao. Progress in modified gastric tube surgery and related techniques for esophageal cancer [J]. Surgical Research and New Technique, 2023, 12(2): 131-136.
[2]	CEN Chunmei, CAI Fengfeng. Effect of low-dose glucocorticoid on septic shock: A Meta-analysis [J]. Surgical Research and New Technique, 2018, 7(3): 197-200.
[3]	ZHOU Juan, WU Gang, ZHANG Lei. Effect of early fluid management on survival of patients with septic shock [J]. Surgical Research and New Technique, 2018, 7(1): 54-57.
[4]	. The value of procalcitonin monitoring in early diagnosis and therapy of postoperative septic shock of upper urinary tract stones surgery [J]. Surgical Research and New Technique, 2015, 4(3): 145-148.
[5]	. Clinical Effect Comparison of VATS and Conventional Thoracotomy for Esophageal Cancer [J]. Surgical Research and New Technique, 2015, 4(1): 33-35.