Abstract:

To summarize the nursing care of a patient with hypovolemic hypernatrium encephalopathy after cardiac surgery. Nursing focus：indwelling gastric tube to trans gastrointestinal combined with intravenous fluid therapy；implementing fluid management strategy with right heart protection as the core；the electrolyte changes should be closely monitored and the rate of sodium reduction should be strictly controlled；paying attention to the state of neurological function and carrying out rehabilitation training as soon as possible. After active treatment and nursing care，the patient recovered and was discharged from hospital on the 28th day after surgery.

Key words: Heart, Postoperative, Hypernatrium Encephalopathy, Nursing Care

摘要：

总结1例心脏外科术后合并低血容量性高血钠性脑病患者的护理。护理要点：留置胃管，经胃肠道联合静脉补液治疗；实施以右心保护为核心的液体管理策略；严密监测电解质变化，严格控制血钠下降速度；密切关注神经功能，开展早期康复训练。经过积极治疗与护理，患者术后第28天康复出院。

关键词: 心脏, 术后, 高血钠性脑病, 护理