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[Ⅲ型喉气管食管裂治疗中多学科护理管理的必要性]

[Need for multidisciplinary care management in the treatment of type III laryngo-tracheo-esophageal cleft].

作者信息

Pinlong E, Lesage V, Robert M, Leddet I, Chamboux-Cheliakine C, Maurage C, Ployet M J

机构信息

Service ORL et Chirurgie Cervico-Faciale Pédiatrique, CHU Clocheville, Tours.

出版信息

Ann Otolaryngol Chir Cervicofac. 1996;113(1):34-9.

PMID:8763773
Abstract

We report a case of type III laryngotracheoesophageal cletf. To our knowledge, this case represents the fourth case repaired. Survival was 22 months. The surgical repair we describe here is the first condition to survival. Close collaboration initially with anesthesiologists, then with the intensive careteam unit is required for post-operative management. Moreover, in addition to the surgical trauma, post-operative management is often long with tracheotomy and gastrostomy leading to a corporeal schema disorder in swallowing and respiration. Early psychologic assistance is indispensable to a good functioning of the aero-digestive region.

摘要

我们报告一例III型喉气管食管裂病例。据我们所知,该病例是第四例接受修复手术的病例。患者存活了22个月。我们在此描述的手术修复是患者存活的首要条件。术后管理需要最初与麻醉科医生密切合作,然后与重症监护团队密切合作。此外,除了手术创伤外,术后管理通常时间较长,气管切开术和胃造口术会导致吞咽和呼吸方面的身体模式紊乱。早期心理援助对于气道消化道区域的良好功能至关重要。

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