早产儿消化道畸形伴喉软化行气管切开的分期救治护理

doi:10.3761/j.issn.2096-7446.2026.09.015

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (9): 1115-1118.doi: 10.3761/j.issn.2096-7446.2026.09.015

• Critical Care Research • Previous Articles Next Articles

Nursing care of staged treatment for a premature infant with gastrointestinal malformation and congenital laryngomalacia undergoing tracheotomy

SHI Fengshuang¹(), CHEN Lili¹, LI Liuqing¹, WEI Mengdi¹, ZHU Jihua²^,^*()

¹ National Clinical Medical Research Center for Children and Adolescents’ Health and Diseases/Department of Thoracic Surgery， Children’s Hospital Zhejiang University School of Medicine， Hangzhou 310052， China
² National Clinical Medical Research Center for Children and Adolescents’ Health and Diseases/Department of Nursing， Children’s Hospital Zhejiang University School of Medicine， Hangzhou 310052， China

Received:2025-11-18 Online:2026-09-10 Published:2026-08-31
Contact: * ZHU Jihua，E-mail：jihuazhu@zju.edu.cn
Supported by:
Zhejiang Provincial Education Department General Research Project(Y202353945)

Abstract

Abstract:

To summarize the nursing experience of a premature infant with gastrointestinal malformation and congenital laryngomalacia who underwent tracheotomy and staged surgeries. In response to key nursing challenges including prematurity and low birth weight，staged surgeries and tracheotomy，an evidence-based perioperative comprehensive management strategy was implemented，including preoperative prevention of aspiration，postoperative refined airway management and tracheotomy care，precise nursing care for gastrointestinal function reconstruction after duodenal anastomosis and gastrostom，optimization of nursing cooperation during internal traction elongation and risk prevention of the supporting gastric tube，sequential nutritional support and dynamic feeding management. After 147 days of meticulous treatment and nursing，the infant’s gastrointestinal function recovered well，and the patient was transferred to the rehabilitation department in stable condition.

Key words: VACTERL, Congenital Laryngomalacia, Infant, Premature, Tracheotomy, Perioperative Nursing

SHI Fengshuang, CHEN Lili, LI Liuqing, WEI Mengdi, ZHU Jihua. Nursing care of staged treatment for a premature infant with gastrointestinal malformation and congenital laryngomalacia undergoing tracheotomy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(9): 1115-1118.

Figures/Tables 1

References 6

[1]	Tonni G, Koçak Ç, Grisolia G, et al. Clinical presentations and diagnostic imaging of VACTERL association[J]. Fetal Pediatr Pathol, 2023, 42(4):651-674. doi: 10.1080/15513815.2023.2206905
[2]	Thiem CE, Stegmann JD, Hilger AC, et al. Re-sequencing of candidate genes FOXF1 HSPA6 HAAO and KYNU in 522 individuals with VATER/VACTERL VACTER/VACTERL-like association,and isolated anorectal malformation[J]. Birth Defects Res, 2022, 114(10):478-486. doi: 10.1002/bdr2.v114.10
[3]	朱淑贞, 诸纪华, 盛美君, 等. 重度先天性喉软骨软化病早产儿的术后护理[J]. 中华急危重症护理杂志, 2021, 2(4):379-381.
	Zhu SZ, Zhu JH, Sheng MJ, et al. Postoperative nursing care of two premature infants with severe congenital laryngomalacia[J]. Chin J Emerg Crit Care Nurs, 2021, 2(4):379-381.
[4]	吕云霞, 冯少娟, 刘正伟, 等. 气管切开术后非机械通气患儿早期气道并发症预防的最佳证据总结[J]. 护理学报, 2021, 28(13):46-51. doi: 10.16460/j.issn1008-9969.2021.13.046
	Lü YX, Feng SJ, Liu ZW, et al. Best evidence summary for prevention of early airway complications in children with non-mechanical ventilation after tracheotomy[J]. J Nurs China, 2021, 28(13):46-51.
[5]	Martou L, Saxena AK. Laparoscopic repair of duodenal atresia:systematic review and meta-analysis after consistent implementation of the technique in the past decade[J]. Surg Endosc, 2024, 38(6):3296-3309. doi: 10.1007/s00464-024-10828-5 pmid: 38658389
[6]	邬文杰, 林阳文, 龚一鸣, 等. 内应力延长技术治疗Ⅰ型食管闭锁[J]. 临床小儿外科杂志, 2023, 22(4):335-339.
	Wu WJ, Lin YW, Gong YM, et al. Clinical experience of elongating esophageal segments through Bougienage stretching technique for pure esophageal atresia[J]. J Clin Pediatr Surg, 2023, 22(4):335-339.

[1]	XU Guoping, LI Li, LAI Lihong, HU Huanting, REN Ying. Risk assessment and nursing care for a patient with abdominal aortic mural thrombus who developed new-onset cerebral infarction during the perioperative period of hip arthroplasty [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(8): 972-975.
[2]	ZHOU Xiaowei, LUO Chunmei, REN Ying, MA Yaojing, YAO Zhaonong, LI Weijie, GAO Qian. Perioperative nursing care of flap transplantation for a patient with huge retroperitoneal lumbar leiomyosarcoma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(8): 979-981.
[3]	GUO Chen, SONG Yamin. Perioperative nursing care of a patient undergoing heart transplantation after surgery for complex cardiac malformations [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 679-681.
[4]	YU Xiangling, ZHAO Xiaoyan, CHEN Fan, LIN Yumin, DENG Sufen, HUANG Yufeng. Nursing care of a premature infant with difficulty in catheterization and PICC catheter placement via thoracoepigastric vein [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 561-563.
[5]	YAN Qingtian, LI Minmin, LI Yuxin. Research progress on enteral nutrition management for infants with postoperative chylothorax following congenital heart disease surgery [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 564-568.
[6]	SHAO Dongling, WANG Qunmin. Nursing of recurrent bleeding in a patient with antithrombin Ⅲ deficiency undergoing living donor small bowel transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 453-455.
[7]	TANG Wenxiu, YING Yan, ZHU Jihua, GE Hongling, ZHOU Weiwei. Perioperative nursing care of a child with liver-brain-type mitochondrial DNA depletion syndrome undergoing liver transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 459-461.
[8]	BIAN Liping, WANG Caoyuan, REN Yimei. The development and application of information-based discharge preparation platform for caregivers of very low birth weight infants in NICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 286-293.
[9]	WU Linshan, ZHANG Ruolin. Multidisciplinary collaborative nursing for an advanced-age primigravida undergoing rectal cancer radical surgery in mid pregnancy and successful delivery [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 325-327.
[10]	SUN Tingting, GU Qian, WU Jingyi, WANG Xiaoli, WANG Feng. Nursing care of a patient complicated with mixed shock after liver transplantation treated by extracorporeal membrane oxygenation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 193-196.
[11]	ZHU Haihong, LING Yun, YIN Yajun, ZHANG Danfei, WANG Juan, ZHU Jihua. Nursing care for preterm infants with severe bronchopulmonary dysplasia receiving nasal high-flow home oxygen therapy [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 197-199.
[12]	WANG Huanhuan, XU Hao, LI Changyan, XIONG Xiaoju, DING Lingli. Perioperative care for a premature infant with large sacrococcygeal teratoma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 200-203.
[13]	DING Yi, TANG Xi, LU Shengli, HUANG Yuan, LÜ Tianchan. Nursing care for bronchopulmonary dysplasia combined with pulmonary bullae in an extremely preterm infant with survival limit [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 204-206.
[14]	WEI Linlin, ZHOU Hongqin, ZHANG Chaolang, CHEN Xiuping. Design and application of an anti-splashing anal fecal specimen sampler for infants and young children [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 253-256.
[15]	ZHANG Dan, YE Juan, WU Liya, ZHANG Mengyu, LIANG Jinjing, LING Mi. Summary of the best evidence for prevention and management of ventilator-associated pneumonia in preterm infants [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 54-60.

Nursing care of staged treatment for a premature infant with gastrointestinal malformation and congenital laryngomalacia undergoing tracheotomy

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 1

References 6

Related Articles 15

Recommended Articles

Metrics

Comments