eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 9: 1115 - 1118

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.09.015

Critical Care Research

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

  • SHI Fengshuang ,
  • CHEN Lili ,
  • LI Liuqing ,
  • WEI Mengdi ,
  • ZHU Jihua
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  • 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 date: 2025-11-18

  Online published: 2026-08-31

Supported by

Zhejiang Provincial Education Department General Research Project(Y202353945)

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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

Cite this article

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 . DOI: 10.3761/j.issn.2096-7446.2026.09.015

References

[1] Tonni G, Ko?ak ?, Grisolia G, et al. Clinical presentations and diagnostic imaging of VACTERL association[J]. Fetal Pediatr Pathol, 2023, 42(4):651-674.
[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.
[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.
  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.
[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.
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