Nursing care of a postoperative patient with esophageal cancer complicated by severe immune checkpoint inhibitor-related pneumonia and anastomotic fistula
10.3761/j.issn.0254-1769.2024.14.013
- VernacularTitle:1例食管癌术后并发重度免疫检查点抑制剂相关肺炎及吻合口瘘患者的护理
- Author:
Yinyan HU
1
;
Linfang ZHAO
;
Xiaoying HE
;
Minjun LIU
Author Information
1. 310016 杭州市 浙江大学医学院附属邵逸夫医院胸外科
- Keywords:
Esophagus Cancer;
Immune Checkpoint Inhibitor-Related Pneumonia;
Anastomotic Fistula;
Oncology Nursing
- From:
Chinese Journal of Nursing
2024;59(14):1752-1756
- CountryChina
- Language:Chinese
-
Abstract:
This report presents the nursing care for a surgical patient with esophageal cancer who received immunotherapy before surgery and developed severe immune checkpoint inhibitor-related pneumonia and anastomotic fistula postoperatively.Key points of nursing:establishing a multidisciplinary case management team to develop personalized intervention programs;vigilantly monitoring disease progression,promptly identifying and treating immune checkpoint inhibitor-related pneumonia;early identification of anastomotic fistula and standardized management to reduce the risk of septic shock;assessing nutritional risks and providing sequential nutritional support;implementing a phased individualized pulmonary rehabilitation strategy based on Kanowski's health status score.After 88 days of comprehensive treatment and meticulous nursing care,the patient was discharged in a recovered state.Regular follow-up was conducted after discharge,and the patient recovered well.
