Sequelae of laryngeal incision surgery

The throat is a very important part of us, but there are still many people suffering from throat diseases. Some can be treated with medicine, while others require surgery. Larynx incision is relatively common, but any surgery has risks. If you are not careful, there is a high probability of sequelae. Do you know what the sequelae of laryngeal incision are?

Inhalation injury, tracheotomy or intubation, aspiration, pulmonary edema, atelectasis, shock, surgical anesthesia, invasive infection of wound surface, suppurative thrombophlebitis, etc. In fact, the symptoms are like asthma in the end. Remove the primary lesion. Patients with inhalation injury or severe burns of the face and neck should strengthen airway management, effectively remove airway secretions and necrotic and detached mucosa, and promote healing of airway wounds. Hematogenous pneumonia should control sepsis and remove distant lesions. According to sputum culture or reference to the results of bacterial examination in the wound or blood, intravenous medication should generally be given, and antibiotics can also be inhaled by nebulization at the same time or an appropriate amount of antibiotics can be added to the lavage fluid. In case of respiratory insufficiency, it should be treated as respiratory insufficiency.

In fact, it turns out to be like asthma symptoms.

1. Eliminate the primary lesion. Patients with inhalation injury or severe burns on the face and neck should strengthen airway management, effectively remove airway secretions and necrotic mucosa, and promote airway wound healing. For hematogenous pneumonia, sepsis should be controlled and remote lesions should be removed.

2. Based on the results of sputum culture or bacterial examination of wound or blood, the drug should generally be administered intravenously. Antibiotics can also be inhaled by nebulization or an appropriate amount of antibiotics can be added to the lavage fluid.

3. If there is concurrent respiratory insufficiency, treat it as respiratory insufficiency.

1. The best way to reduce phlegm is nebulization inhalation. You need to buy a nebulizer inhaler, add antibiotics and expectorants, and inhale 2-3 times a day, each time for 30 minutes. It can dilute sputum, tap the back in time and promote expectoration. However, antibiotics are generally not used for more than 7 days, but expectorants can be used continuously.

2. Replace the pad between the metal base of the trachea and the skin at the incision with sterile gauze soaked in chlorhexidine once a day. The air outlet should be covered with wet gauze soaked in saline every day to maintain a certain humidity in the inhaled air.

3. To avoid lung infection, the first thing is to expectorate in time, use a combination of nebulization inhalation and back tapping, and turn over frequently. Observe body temperature in time to detect signs of infection such as fever in time. Every one to two weeks, blood tests are needed to check for any signs of inflammation. If there are any signs of inflammation, intravenous antibiotics are needed.

4. It is best to go to the hospital for regular check-ups, mainly for blood tests. Another thing is to change the endotracheal tube once a week