中华护理杂志 ›› 2021, Vol. 56 ›› Issue (11): 1710-1713.DOI: 10.3761/j.issn.0254-1769.2021.11.019

• 临床实践 • 上一篇    下一篇

1例布鲁氏菌感染性腹主动脉假性动脉瘤患者的围手术期护理

于楠楠(), 赵晓敏, 于英()   

  1. 264001 烟台市 青岛大学附属烟台毓璜顶医院血管外科(于楠楠,于英);滨州医学院护理学院(赵晓敏)
  • 收稿日期:2021-04-21 出版日期:2021-11-15 发布日期:2021-11-16
  • 通讯作者: 于英,E-mail: 458975651@qq.com
  • 作者简介:于楠楠:女,本科(硕士在读),主管护师,E-mail: yunannan610@163.com

Perioperative nursing care of a patient with Brucella infection of abdominal aortic pseudoaneurysm

YU Nannan(), ZHAO Xiaomin, YU Ying()   

  • Received:2021-04-21 Online:2021-11-15 Published:2021-11-16

摘要:

总结1例布鲁氏菌感染性腹主动脉假性动脉瘤患者的围术期护理经验。护理要点:做好传染病患者的隔离防护管理和心理建设;手术前控制血压、疼痛和体温,卧床期间做好预防血栓指导;术后严格控制血压和腹内压,做好引流管护理,根据疾病特点做好腹壁疝、下肢动脉栓塞的观察护理和预防布鲁氏杆菌病复发指导。经过40 d精心治疗和护理,患者康复出院。微信、电话随访1年,患者恢复良好。

关键词: 动脉瘤, 假性, 羊布鲁杆菌, 围手术期护理

Abstract:

To summarize the perioperative nursing experience of a patient with Brucella infection of abdominal aortic pseudoaneurysm. Nursing points:do well in isolation,protection,management and psychological construction of infectious disease patients;blood pressure,pain and body temperature should be controlled before the operation. The blood pressure and intra-abdominal pressure were strictly controlled after the operation,and the predictive observation and nursing care of abdominal wall hernia and lower limb arterial thrombus were performed according to characteristics of the disease,as well as the drainage tube management and the guidance of prevention of brucellosis recurrence. After 40 days of careful treatment and nursing care,the patient recovered and was discharged. Followed up on WeChat and telephone for 1 year,the patient recovered well.

Key words: Aneurysm, Pseudo, Brucella Ovis, Perioperative Nursing