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总结了2例保留喉功能的下咽癌术后组织缺损行前臂游离皮瓣修复的气道管理体会。术后通过缝线固定气管切开套管,早期气囊充气,定时抽吸囊上引流,泡沫敷料保护气切口,气切面罩雾化吸氧,扬克吸管吸除口腔分泌物,加强管饲和饮食护理,患者术后恢复顺利,未发生血管危象、切口感染、误咽及吸入性肺炎等术后并发症,获得了较为满意的呼吸、发音及吞咽功能。随访近2年未发现肿瘤转移及复发。
Two cases of laryngeal carcinoma with preserved laryngeal squamous cell carcinoma were retrospectively reviewed. Postoperative suture through the tracheostomy tube, early balloon inflatable, timed suction bag on the drainage, foam dressing protective gas incision, gas mask inhalation oxygen, Yankees suction tube to absorb oral secretions, strengthen tube feeding and Diet and nursing. The patients recovered smoothly after surgery, no vascular crisis, incision infection, pharyngeal aspiration and aspiration pneumonia and other postoperative complications, and obtained more satisfactory respiration, pronunciation and swallowing function. Follow-up nearly 2 years did not find tumor metastasis and recurrence.