关键词: 主动脉夹层, 胸腔血肿, 热成像技术, 机械通气撤机, 重症护理

Abstract:

This study aims to summarize the nursing care of a patient with a massive thoracic hematoma following the rupture of an acute Stanford Type B aortic dissection aneurysm. Key aspects of nursing care include：developing staged circulatory management protocols to maintain hemodynamic stability； implementing a stepwise weaning strategy while actively monitoring and managing extubation-related complications； dynamically balancing the risks of bleeding and coagulation to prevent rebleeding and thrombosis； establishing personalized follow-up programs led by ICU liaison nurses to ensure patient safety during the transition period. Through meticulous treatment and nursing care，the patient was successfully transferred to a general ward for further care on the 14th day after admission to the ICU and fully recovered，subsequently being discharged on the 21st postoperative day.

Key words: Aortic Dissection, Mediastinal Hematoma, Thermography, Mechanical Ventilator Weaning, Critical Care