We summarized the perioperative care experience of a patient with simultaneous hypopharyngeal-esophageal multiple primary carcinoma with third-degree laryngeal obstruction. Aiming at the patient's high risk of airway obstruction,rapid disease progression,pulmonary infection,poor general nutritional status,and weakened motor function,measures such as early warning and emergency management of airway obstruction risk,phased implementation of lung protective strategies,goal-oriented preoperative prehabilitation nutritional management,and low load and small intensity individualized antiobstruction exercises were taken to improve weakness and promote patient recovery. After 34 d of active treatment and care,the patient was discharged in a stable condition,and the patient was in good condition at 1-month follow-up after discharge.
SUN Chunrong
,
ZHANG Ping
,
WEI Jianhua
. Perioperative care of a patient with simultaneous multiple primary carcinoma of the hypopharynx-esophagus with third-degree laryngeal obstruction[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(2)
: 156
-158
.
DOI: 10.3761/j.issn.2096-7446.2024.02.013
[1] 周梦娇,陈晓红,于磊. 下咽-食管同时性多原发癌的临床分层治疗策略[J]. 中国耳鼻咽喉头颈外科,2019,26(10):545-547.
Zhou MJ,Chen XH,Yu L.Clinical stratified treatment strategy for hypopharyngeal-esophageal multiple primary cancer[J]. Chin Arch Otolaryngol Head Neck Surg,2019,26(10):545-547.
[2] Niwa Y,Koike M,Fujimoto Y,et al.Salvage pharyngolaryngectomy with total esophagectomy following definitive chemoradiotherapy[J]. Dis Esophagus,2016,29(6):598-602.
[3] 薄禄龙,卞金俊,邓小明. 手术患者肺保护性通气策略:国际专家组推荐规范的解读[J]. 国际麻醉学与复苏杂志,2020,41(5):417-421.
Bo LL,Bian JJ,Deng XM.Pulmonary protective ventilation strategies in surgical patients:interpretation of recommended norms by an international expert group[J]. Int J Anesthesiol Resus,2020,41(5):417-421.
[4] 罗旋,米洁,姚娟,等. ICU护士对气管切开非机械通气患者气道湿化知识及实践现状调查[J]. 护士进修杂志,2023,38(9):859-863.
Luo X,Mi J,Yao J,et al.Investigation on ICU nurses' knowledge and practice of airway humidification in patients with tracheotomy and non-mechanical ventilation[J]. J Nurses Train,2023,38(9):859-863.
[5] 闫亚维,汪婷,程美玲. 系统营养支持管理在食管癌同步放化疗病人中的应用[J]. 护理研究,2022,36(9):1660-1664.
Yan YW,Wang T,Cheng ML.Application of systematic nutritional support management in patients with esophageal cancer undergoing concurrent chemoradiotherapy[J]. Chin Nurs Res,2022,36(9):1660-1664.
[6] 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病人围术期的应用[J]. 护理研究,2022,36(3):490-494.
Liu L,Chen Y,Yu H.Application of whole-course nutrition management model based on enhanced recovery after surgery in perioperative of patients with esophageal cancer[J]. Chin Nurs Res,2022,36(3):490-494.
[7] 汤隽,赵健竹,王希文,等. 食管癌术后并发心房颤动的危险因素分析[J]. 中国胸心血管外科临床杂志,2018,25(7):572-576.
Tang J,Zhao JZ,Wang XW,et al.Risk factors of atrial fibrillation after esophageal cancer surgery[J]. Chin J Clin Thorac Cardiovasc Surg,2018,25(7):572-576.