中华护理杂志 ›› 2024, Vol. 59 ›› Issue (6): 719-722.DOI: 10.3761/j.issn.0254-1769.2024.06.011

• 疑难病例护理 • 上一篇    下一篇

1例肺动静脉瘘患者术后继发急性缺血性脑卒中的护理

谢徐萍(), 余立梅(), 陈明祥, 李福平, 李志平   

  1. 401120 重庆市 重庆医科大学附属第三医院(捷尔医院)心血管外科
  • 收稿日期:2023-03-22 出版日期:2024-03-20 发布日期:2024-03-08
  • 通讯作者: 余立梅,E-mail:650919@hospital.cqmu.edu.cn
  • 作者简介:谢徐萍:女,硕士,主管护师,护士长,E-mail:650045@hospital.cqmu.edu.cn
  • 基金资助:
    重庆市教育委员会科学技术研究项目(KJQN202000437)

Nursing care of a patient with pulmonary arteriovenous fistula and postoperative acute ischemic stroke

XIE Xuping(), YU Limei(), CHEN Mingxiang, LI Fuping, LI Zhiping   

  • Received:2023-03-22 Online:2024-03-20 Published:2024-03-08

摘要:

总结1例肺动静脉瘘患者术后继发急性缺血性脑卒中的护理经验。护理要点如下:实施预见性护理,保证应急通道通畅;准确评估与早期识别,抓住黄金抢救时间;加强术后管理,促进重要器官康复;动态调整抗凝策略,保障患者最大获益;积极纠正围手术期贫血,预防并发症;通过智能随访系统实施延续性护理,促进身心康复。该患者经过多学科团队合作及精心护理,康复出院。

关键词: 肺, 动静脉瘘, 卒中, 外科手术, 护理

Abstract:

To summarize the nursing experience of a patient with pulmonary arteriovenous fistula and secondary acute ischemic stroke after surgery. Nursing points include:implementing predictive care to ensure smooth emergency access;accurate evaluation and early identification to seize golden rescue time;strengthening postoperative management and promoting the recovery of important organs;dynamically adjusting anticoagulation strategies to ensure maximum benefit for patients;actively correcting perioperative anemia and preventing complications;implementing continuous care through an intelligent follow-up system to promote physical and mental recovery. The patient was discharged from hospital after multidisciplinary teamwork and careful nursing.

Key words: Lung, Arteriovenous Fistula, Stroke, Surgery, Nursing Care