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目的:学习并掌握颈椎前路手术后并发食管瘘的原因、临床表现、治疗及护理要点。方法:报告一例颈椎间盘脱出伴截瘫的男性患者,在行颈椎前路手术后一周并发食管瘘,给予的治疗经过及护理要点。结果:患者住院治疗40余天,治疗效果满意,食管瘘痊愈。结论:食管瘘治疗是一个长期的过程,及时更换污染的瘘口敷料,保证瘘口清洁干燥及合理的营养供给方式、保证机体全面营养是促进食管瘘愈合的关键。
Objective: To study and master the causes, clinical manifestations, treatment and nursing points of esophageal fistula after anterior cervical spine surgery. METHODS: One male patient with cervical disc prolapse and paraplegia was reported. One week after anterior cervical spine surgery, esophageal fistula was given, and the treatment and nursing points were given. Results: Patients hospitalized more than 40 days, the treatment effect is satisfactory, esophageal fistula healed. Conclusion: The treatment of esophageal fistula is a long-term process, timely replacement of contaminated fistula dressing, to ensure clean and dry fistula and reasonable nutrition supply, to ensure the full body nutrition is the key to promote healing of esophageal fistula.