Chinese Journal of Nursing ›› 2022, Vol. 57 ›› Issue (2): 204-207.DOI: 10.3761/j.issn.0254-1769.2022.02.013

• Clinical Practice • Previous Articles     Next Articles

Nursing care of a patient with huge space occupying of cardiac non-Hodgkin’s lymphoma

DAI Zhen(), SHAO Lewen(), LI Shaoling   

  • Received:2021-07-26 Online:2022-01-20 Published:2022-01-20
  • Contact: SHAO Lewen

1例心脏非霍奇金淋巴瘤巨大占位患者的护理

戴珍(), 邵乐文(), 李少玲   

  1. 310003 杭州市 浙江大学医学院附属第一医院心血管内科
  • 通讯作者: 邵乐文
  • 作者简介:戴珍:女,本科(硕士在读),主管护师,副护士长,E-mail: daizhen@zju.edu.cn

Abstract:

To summarize the nursing experience of a patient with huge space occupying of cardiac non-Hodgkin lymphoma. The key points of nursing include:monitoring and volume management of circulatory system,predictive nursing of percutaneous ventricular septal biopsy,nursing of individual chemotherapy complications,rehabilitation guidance during acute heart failure in bed,risk management of cross-hospital transport,and individual psychological nursing. After careful multidisciplinary treatment and nursing care,the patient was getting better;the heart tumor was smaller than before;the cardiac function increased from level Ⅳ to Ⅱ;no chest tightness,shortness of breath and discomfort were reported after walking on the ground for 30 min.

Key words: Heart Neoplasms, Lymphoma, Non-Hodgkin, Lymphoma, T-Cell, Nursing Care

摘要:

总结1例心脏非霍奇金淋巴瘤巨大占位患者的护理经验。护理主要内容如下:循环系统监测及容量管理,经皮室间隔穿刺活检的预见性护理,个体化化疗并发症的护理,急性心力衰竭卧床期间的康复指导,跨院区转运的风险管理,个体化心理护理。经过多学科的精心治疗和护理,患者病情好转,心脏肿瘤较前缩小,心功能由Ⅳ级恢复至Ⅱ级,平地步行30 min未报告胸闷、气急等不适症状。

关键词: 心脏肿瘤, 淋巴瘤, 非霍奇金, 淋巴瘤, T细胞, 护理