Correlation between postoperative sputum properties and pharyngeal fistula in laryngeal cancer patients / 现代临床护理

ABSTRACT

Objective To observe the correlation between postoperative sputum properties and pharyngeal fistula in laryngeal cancer patients and summarize the nursing points. Methods Fifty laryngeal cancer patients with partial laryngectomy but no radio-therapy were enrolled in the study to record the sputum properties change,pharyngeal fistula.The relevant care measures were taken. Results On day 3 to 5 after partial laryngectomy,the sputum from the patients was stickier and more odorous,and the stench intensity was increased.1 case and another 7 ones were diagnosed as pharyngeal fistula on days 3 and 7,respectively.3 of them were healed by local open medication for 2 to 4 weeks.The other 5 cases which were not cured with routine medication for 4 to 6 weeks were treated with repair of pectoralis major myocutaneous flap and then healed on days 10 to 104 days,averaged (56.03 ±16.87)d. Conclusions The postoperative sputum properties like color,stickiness and odor can indicate the local healing condition.The relevant nursing mea-sures can promote their recovery.