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目的探讨无气管切开喉裂开术患者围手术期的护理方法。方法对声门型喉癌T1期患者15例,巨大声带息肉患者8例(共23例,均行喉裂开术,未做气管切开),根据病变性质行开放式喉小部分切除术或声带息肉切除术,术后保持呼吸道畅通,密切监测血氧饱和度,进行呼吸道护理、心理护理、饮食护理和口腔护理,观察其病情进展。结果所有患者恢复良好,无1例发生术后窒息或出血,全部患者避免了术后气管切开,效果良好。结论以气道为中心的术后护理有效地配合了无气管切开的喉裂开手术患者的恢复,减少了术后并发症,减轻了患者的痛苦,消除了患者的悲观情绪,对于临床工作有积极的指导作用。
Objective To discuss the perioperative nursing methods of tracheotomy without laryngectomy. Methods Fifteen patients with T1 glottic cancer and 8 patients with giant vocal cord polyps were enrolled in this study. Twenty-three patients underwent laryngectomy without tracheotomy. According to the lesion, open partial laryngectomy or Vocal cord polypectomy, postoperative respiratory tract maintenance, close monitoring of oxygen saturation, respiratory care, psychological care, diet and oral care to observe the progression of the disease. Results All patients recovered well. No postoperative asphyxia or hemorrhage occurred in 1 patient. All the patients avoided postoperative tracheotomy with good results. Conclusions The airway-centered postoperative care effectively cooperates with the recovery of tracheostomy without tracheostomy, reduces the postoperative complications, relieves the patient’s pain and eliminates the patients’ pessimism. For the clinical work Have a positive guiding role.