中华护理杂志 ›› 2024, Vol. 59 ›› Issue (9): 1118-1121.DOI: 10.3761/j.issn.0254-1769.2024.09.014

• 疑难病例护理 • 上一篇    下一篇

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

贾晓静(), 陈一竹(), 许志英, 和霞, 耿超   

  1. 300041 天津市 天津医科大学总医院心血管内科监护室
  • 收稿日期:2023-07-03 出版日期:2024-05-10 发布日期:2024-04-28
  • 通讯作者: 陈一竹,E-mail:sissy713@163.com
  • 作者简介:贾晓静:女,本科,主管护师,E-mail:jxj20110065@163.com

Nursing care of a patient with acute myocardial infarction after double knee joint replacement due to alkaptonuria

JIA Xiaojing(), CHEN Yizhu(), XU Zhiying, HE Xia, GENG Chao   

  • Received:2023-07-03 Online:2024-05-10 Published:2024-04-28

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

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