Abstract:

To summarize the nursing care of a patient with acute myocardial infarction after double knee joint replacement due to alkaptonuria. The main nursing points were as follows：strict condition monitoring，being alert to the occurrence of cardiac complications；strengthening thrombus and bleeding management to prevent related complications；early progressive rehabilitation exercise to promote functional rehabilitation of the affected limb；implementing analgesic management to improve pain symptoms；carrying out nutrition assessment and personalized nutrition support；paying attention to humanistic care，targeted psychological nursing. After careful treatment and nursing care，the patient was discharged from the hospital. After 3 months of telephone follow-up，the patient recovered well.

Key words: Alkaptonuria, Arthroplasty，Replacement，Knee, Acute Myocardial Infarction, Nursing Care

摘要：

总结1例尿黑酸尿症双膝关节置换术后患者并发急性心肌梗死的护理。护理要点如下：严密监测病情，警惕急性心肌梗死并发症的发生；加强血栓和出血管理；早期渐进性康复锻炼，促进患肢功能康复；实施镇痛管理，改善疼痛症状；开展营养评估，给予个性化营养支持；注重人文关怀，实施针对性心理护理。经过精心的治疗及护理，患者好转出院。电话随访3个月，患者恢复良好。

关键词: 尿黑酸尿症, 关节成形术，置换，膝, 急性心肌梗死, 护理