1例扩张型心肌病继发二次肠系膜上动脉栓塞伴消化道大出血患者的护理

doi:10.3761/j.issn.0254-1769.2025.16.015

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (16): 2021-2025.DOI: 10.3761/j.issn.0254-1769.2025.16.015

1例扩张型心肌病继发二次肠系膜上动脉栓塞伴消化道大出血患者的护理

陈建芬(), 朱慧娣(), 江月红

310003 杭州市浙江大学医学院附属第一医院护理部（陈建芬），胃肠外科（朱慧娣，江月红）；美国零售药房协会加州药剂师协会（Kimberly Dong）

收稿日期:2025-01-02 出版日期:2025-08-20 发布日期:2025-08-22
通讯作者: 朱慧娣，E-mail：hzzhuhuidi0505@yeah.net
作者简介:陈建芬：女，本科，主管护师，E-mail：1489733397@qq.com

Nursing care of a patient with dilated cardiomyopathy accompanied by recurrent superior mesenteric artery embolism and massive gastrointestinal hemorrhage

CHEN Jianfen(), ZHU Huidi(), JIANG Yuehong, Kimberly Dong

Received:2025-01-02 Online:2025-08-20 Published:2025-08-22

摘要/Abstract

摘要：

总结1例扩张型心肌病继发二次肠系膜上动脉栓塞伴消化道大出血行肠坏死切除术患者的护理经验。护理要点：加强出血-栓塞风险评估，落实防控干预方案；快速开展出血性休克合并脓毒性休克的急救护理；兼顾心功能的同时，做好抗感染的护理；动态评估，积极预防心源性猝死；建立社区协同随访管理机制。经过44 d的治疗，患者顺利出院，随访12周，左心室射血分数为41%，生活可自理。

关键词: 扩张型心肌病, 左心室血栓, 肠系膜动脉栓塞, 危重病护理

Abstract:

To summarize the nursing experience of a patient with dilated cardiomyopathy experiencing recurrent superior mesenteric artery embolism and gastrointestinal hemorrhage post-enterectomy. Nursing key points：the development of a hemorrhage-embolism dual-risk assessment program and prevention and control interventions；the implementation of rapid-response emergency care for hemorrhagic shock combined with septic shock；active anti-infective care；the implementation of sudden cardiac death and ventricular arrhythmia early warning care；the establishment of a collaborative community follow-up management mechanism. The patient was discharged successfully after 44 d of hospitalization. During the 12-week follow-up，LVEF was 41%，and the patient could take care of himself in daily life.

Key words: Dilated Cardiomyopathy, Left Ventricular Thrombus, Mesenteric Artery Embolization, Critical Care

陈建芬, 朱慧娣, 江月红. 1例扩张型心肌病继发二次肠系膜上动脉栓塞伴消化道大出血患者的护理[J]. 中华护理杂志, 2025, 60(16): 2021-2025.

CHEN Jianfen, ZHU Huidi, JIANG Yuehong, Kimberly Dong. Nursing care of a patient with dilated cardiomyopathy accompanied by recurrent superior mesenteric artery embolism and massive gastrointestinal hemorrhage[J]. Chinese Journal of Nursing, 2025, 60(16): 2021-2025.

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1例扩张型心肌病继发二次肠系膜上动脉栓塞伴消化道大出血患者的护理

Nursing care of a patient with dilated cardiomyopathy accompanied by recurrent superior mesenteric artery embolism and massive gastrointestinal hemorrhage

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