1例冠心病患者行肝胰十二指肠切除术后并发假性动脉瘤的护理

doi:10.3761/j.issn.0254-1769.2021.12.012

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (12): 1835-1837.DOI: 10.3761/j.issn.0254-1769.2021.12.012

1例冠心病患者行肝胰十二指肠切除术后并发假性动脉瘤的护理

赵巧梅(), 黄冰瑛, 柴佩飞, 梁江淑渊, 徐虹霞()

310009 杭州市浙江大学医学院附属第二医院滨江院区普外二病区（赵巧梅,黄冰瑛）,日间病房（柴佩飞）,综合ICU（梁江淑渊）;浙江大学医学院附属邵逸夫医院肝胆胰外科2-7F（徐虹霞）

收稿日期:2021-04-02 出版日期:2021-12-15 发布日期:2021-12-20
通讯作者: 徐虹霞,E-mail： 40190@zju.edu.cn
作者简介:赵巧梅：女,本科,主管护师,责任组长,E-mail： zhaoqm@zju.edu.cn
基金资助:
浙江省医药卫生科研项目(2019332063);浙江省教育厅一般科研项目(Y201941517)

Nursing care of a patient with coronary heart disease complicated with pseudoaneurysm after hepatopancreatduodenectomy

ZHAO Qiaomei(), HUANG Bingying, CHAI Peifei, LIANG Jiangshuyuan, XU Hongxia()

Received:2021-04-02 Online:2021-12-15 Published:2021-12-20

摘要/Abstract

摘要：

总结1例冠心病患者行肝胰十二指肠切除术后并发肝动脉假性动脉瘤的护理经验。护理要点：加强病情观察和护理,警惕急性冠状动脉综合征的发生;重视前哨出血;落实肝动脉假性动脉瘤保守治疗期间护理;介入治疗后并发症的预防与护理。经过精心的治疗和护理,患者于术后78 d康复出院。

关键词: 冠心病, 肝胰十二指肠切除术, 假性动脉瘤, 护理

Abstract:

To summarize the nursing care of a patient with coronary heart disease complicated by hepatic artery pseudoaneurysm after hepatopancreatduodenectomy. Nursing points include：to strengthen the observation and nursing care of the disease,to be alert to the occurrence of acute coronary syndrome,to pay attention to early warning sentinel bleeding,to implement nursing care during conservative treatment of hepatic artery pseudoaneurysm,and the prevention and nursing care of complications after interventional treatment. After careful treatment and nursing care,the patient recovered after 78 days of hospitalization.

Key words: Coronary Heart Disease, Hepatopancreatoduodenectomy, Pseudoaneurysm, Nursing Care

赵巧梅, 黄冰瑛, 柴佩飞, 梁江淑渊, 徐虹霞. 1例冠心病患者行肝胰十二指肠切除术后并发假性动脉瘤的护理[J]. 中华护理杂志, 2021, 56(12): 1835-1837.

ZHAO Qiaomei, HUANG Bingying, CHAI Peifei, LIANG Jiangshuyuan, XU Hongxia. Nursing care of a patient with coronary heart disease complicated with pseudoaneurysm after hepatopancreatduodenectomy[J]. Chinese Journal of Nursing, 2021, 56(12): 1835-1837.

参考文献 10

[1]	陈志宇, 别平. 肝胰十二指肠切除术在胆囊癌外科治疗中的应用[J]. 临床外科杂志, 2017, 25(6):411-413.
	Chen ZY, Bie P. Application of Hepatopancreatoduodenectomy in surgical treatment of gallbladder carcinoma[J]. J Clin Surg, 2017, 25(6):411-413.
[2]	Sakamoto Y, Nara S, Kishi Y, et al. Is extended hemihepatectomy plus pancreaticoduodenectomy justified for advanced bile duct cancer and gallbladder cancer?[J]. Surgery, 2013, 153(6):794-800. DOI URL
[3]	Hasegawa T, Ota H, Matsuura T, et al. Endovascular treatment of hepatic artery pseudoaneurysm after pancreaticoduodenectomy:risk factors associated with mortality and complications[J]. J Vasc Interv Radiol, 2017, 28(1):50-59. DOI PMID
[4]	方勇, 高晓东, 束平, 等. 介入栓塞术治疗腹部手术后继发内脏假性动脉瘤16例[J]. 中华胃肠外科杂志, 2016, 19(7):816-818.
	Fang Y, Gao XD, Shu P, et al. Interventional embolization for 16 cases of visceral pseudoaneurysm secondary to abdominal operation[J]. Chin J Gastrointest Surg, 2016, 19(7):816-818.
[5]	Xi H, Yu RH, Wang N, et al. Serum potassium levels and mortality of patients with acute myocardial infarction:a systematic review and meta-analysis of cohort studies[J]. Eur J Prev Cardiol, 2019, 26(2):145-156. DOI URL
[6]	Kovesdy CP, Matsushita K, Sang Y, et al. Serum potassium and adverse outcomes across the range of kidney function:a CKD prognosis consortium meta-analysis[J]. Eur Heart J, 2018, 39(17):1535-1542. DOI PMID
[7]	Koukoutsis I, Bellagamba R, Morris-Stiff G, et al. Haemorrhage following pancreaticoduodenectomy:risk factors and the importance of sentinel bleed[J]. Dig Surg, 2006, 23(4):224-228. DOI URL
[8]	王欣然, 张芝颖, 张宇. 重症胰腺炎并发胰周假性动脉瘤出血患者的识别与急救护理[J]. 中华护理杂志, 2018, 53(6):703-706.
	Wang XR, Zhang ZY, Zhang Y. Identification and emergency nursing of patients with severe pancreatitis complicated with peripancreatic pseudoaneurysm hemorrhage[J]. Chin J Nurs, 2018, 53(6):703-706.
[9]	Tessier DJ, Fowl RJ, Stone WM, et al. Iatrogenic hepatic artery pseudoaneurysms:an uncommon complication after hepatic,biliary,and pancreatic procedures[J]. Ann Vasc Surg, 2003, 17(6):663-669. PMID
[10]	梁廷波. 加速康复外科理论与实践[M]. 北京: 人民卫生出版社, 2018: 332.
	Liang TB. Theory and practice of enhanced recovery after surgery[M]. Beijing: People’s Medical Publishing House, 2018: 332.

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1例冠心病患者行肝胰十二指肠切除术后并发假性动脉瘤的护理

Nursing care of a patient with coronary heart disease complicated with pseudoaneurysm after hepatopancreatduodenectomy

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