Experts introduce postoperative care measures for cardiac cancer

Patients with cardia cancer must pay attention to postoperative care after surgery, which is conducive to postoperative recovery and prevention of recurrence of cardia cancer. So how to do postoperative care for cardia cancer? The following experts will introduce the postoperative care measures for cardia cancer .

1. Postoperative care for cardiac cancer requires strict diet control. The esophagus lacks a serosal layer, so the anastomosis heals slowly. Postoperatively, patients should be strictly fasted and abstained from water. During the fasting period, intravenous fluid is replenished daily. For patients who have a duodenal dropper, nutrient solution can be dripped through the catheter after intestinal peristalsis is restored on the second day after surgery to reduce the amount of infusion. On the fifth day after surgery, if there is no special change in the condition, milk can be taken orally. On the 10th to 12th day after surgery, a residue-free semi-liquid diet should be adopted, but care should be taken to prevent eating too fast and in excess.

2. Keep the gastrointestinal decompression tube unobstructed. A small amount of blood drained out 24 to 48 hours after surgery should be considered normal. If a large amount of blood is drained, report it to the doctor immediately. The gastrointestinal decompression tube should be retained for 3 to 5 days to reduce the tension of the anastomosis and facilitate healing. Pay attention to the accurate connection of the gastric tube, firm fixation, prevention of dislocation, and smooth drainage.

3. Closely observe the amount and nature of chest drainage. If abnormal bleeding, turbid fluid, food residue or chyle is found in the chest drainage fluid, it indicates active bleeding in the chest cavity, esophageal anastomotic fistula or chylothorax. Appropriate measures should be taken to make a clear diagnosis, treat it and do a good job of postoperative care for cardiac cancer. If there is no abnormality, the drainage tube should be removed 1 to 3 days after surgery.

4. Postoperative care for cardiac cancer also requires observation of the symptoms of anastomotic leakage. The clinical manifestations of esophageal anastomotic leakage are high fever, rapid pulse, dyspnea, severe chest pain, unbearable pain; low breath sounds on the affected side, dull percussion sounds, elevated white blood cells, and even shock. Treatment principles: ① Drainage of the pleural cavity to promote lung expansion; ② Select effective antibiotics to fight infection; ③ Supplement adequate nutrition and calories. Currently, complete enteral nutrition through gastrostomy feeding is often used for treatment, with accurate and satisfactory results.

The above content is the postoperative care measures for cardiac cancer introduced by experts. Please pay attention to it. I hope the above content can be helpful to you. If you have other questions about postoperative care for cardiac cancer, please consult online experts, who will give you detailed answers.

For more information, please visit the cardia cancer special topic at http://www..com.cn/zhongliuke/bma/ or consult an expert for free. The expert will then give a detailed answer based on the patient's specific situation.