Emergency nursing care for a patient with delayed hemorrhage complicated by abdominal compartment syndrome following gastric endoscopic submucosal dissection：a case report

doi:10.3761/j.issn.0254-1769.2026.02.013

Abstract

Abstract:

This report summarizes the emergency management and nursing care of a patient who developed delayed massive gastrointestinal bleeding complicated by abdominal compartment syndrome following gastric endoscopic submucosal dissection（ESD）. Key nursing points：accurately identification of delayed massive hemorrhage after endoscopic submucosal dissection，rapid initiation of nursing interventions and facilitation of multidisciplinary management；dynamic differentiation between hemorrhagic shock and obstructive shock， implementation of restrictive fluid resuscitation strategies；early recognition of abdominal compartment syndrome（ACS），individualized decompres-sion interventions. With timely multidisciplinary treatment and meticulous nursing care，the patient recovered well after 16 days of hospitalization and was successfully discharged. At 1-month follow-up，the patient recovered well with no recurrent symptoms such as hematemesis or abdominal distension.

Key words: Endoscopic Submucosal Dissection, Delayed Bleeding, Abdominal Compartment Syndrome, Emergency Nursing

摘要：

总结1例胃内镜黏膜下剥离术后迟发性出血并发腹腔间隔室综合征患者的急救与护理。护理要点：精准识别内镜黏膜下剥离术后迟发性大出血，快速启动护理干预并推动多学科诊疗；动态鉴别失血性休克与梗阻性休克，实施限制性液体复苏策略；早期识别腹腔间隔室综合征，个性化干预减压。经过多学科的救治和精细化护理，患者住院16 d恢复良好，顺利出院。1个月后随访，患者恢复良好，无呕血、腹胀等再发症状。

关键词: 内镜下黏膜剥离术, 迟发性出血, 腹腔间隔室综合征, 急救护理

ZHOU Shuaishuai, WANG Sa, LIU Yajie, CHAI Jingjing, YAN Danping, WANG Yuwei. Emergency nursing care for a patient with delayed hemorrhage complicated by abdominal compartment syndrome following gastric endoscopic submucosal dissection：a case report[J]. Chinese Journal of Nursing, 2026, 61(2): 244-248.

周帅帅, 王飒, 刘亚洁, 柴晶晶, 闫丹萍, 王钰炜. 1例胃内镜黏膜下剥离术后迟发性出血并发腹腔间隔室综合征患者的急救护理[J]. 中华护理杂志, 2026, 61(2): 244-248.

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