On 30 cases of total laryngectomy postoperative care.docVIP

 PAGE \* MERGEFORMAT 15 On 30 cases of total laryngectomy postoperative care Papers Keywords: Laryngeal neoplasms Voice Training Care Abstract Objective: To explore the total laryngectomy patients with the condition of post-operative observation and clinical nursing. Methods: 30 patients after total laryngectomy patients with the disease care, personalized care plans, as well as voice training effect, etc., conducted a retrospective analysis. Results: 30 patients all recovered well after surgery, of which 22 cases able to use port-based and motion with the non-verbal communication to express needs, eight cases of laryngeal can take advantage of electronic sounds. Conclusion: The need for psychological care, careful preoperative preparation and postoperative condition close observation and effective speech training is the key to patient recovery. Otorhinolaryngology larynx is a common cancer, with surgery-based treatment or surgery plus radiation therapy is to improve the comprehensive treatment is still the primary means of survival in patients with laryngeal cancer [1]. Laryngeal cancer incidence more in 40 years of age, especially over the age of 60 the incidence is high. I Bureau since October 2000 ~ January 2008 were treated 30 cases of advanced laryngeal cancer in patients with total laryngectomy OK, we have carried out at different stages of the disease in patients with all-round care, achieved some results, are summarized below. Clinical Information in this group of 30 patients from October 2000 ~ January 2008 admitted to our hospital with advanced laryngeal cancer lines total laryngectomy patients, all male, aged 41 to 81 years, mean 60.8 years old; line full Laryngectomy the same time, and make ipsilateral radical neck dissection, contralateral functional neck dissection. And 1 case complicated by wound two hours after hemorrhage, 4 cases after six days due to frequent coughing and neck wound dehiscence,