超高龄肺栓塞极高危患者行人工股骨头置换术的护理

doi:10.3761/j.issn.2096-7446.2022.03.014

中华急危重症护理杂志 ›› 2022, Vol. 3 ›› Issue (3): 247-249.doi: 10.3761/j.issn.2096-7446.2022.03.014

超高龄肺栓塞极高危患者行人工股骨头置换术的护理

杨曾桢, 柏晓玲, 李玲, 张蕴凡

550002 贵阳市贵州省人民医院综合病房（杨曾桢,李玲,张蕴凡）; 贵州护理职业技术学院（柏晓玲）

收稿日期:2021-12-14 出版日期:2022-05-10 发布日期:2022-05-08
通讯作者: 柏晓玲,E-mail：baixiaoling2003@163.com
作者简介:杨曾桢：女,硕士,主管护师,E-mail：408727850@qq.com

Nursing care of a 103-year-old patient with intertrochanteric fracture complicated with pulmonary embolism

YANG Zengzhen, BAI Xiaoling, LI Ling, ZHANG Yunfan

Received:2021-12-14 Online:2022-05-10 Published:2022-05-08

摘要/Abstract

摘要： 总结1例超高龄肺栓塞极高危患者行人工股骨头置换术的护理体会。针对患者无明显肺血栓症状、基础疾病多、术前准备时间短的情况,采取了一系列措施,包括多学科联合诊疗方案的制订、肺栓塞的评估与干预、多模式镇痛效果的观察、术后营养支持及早期康复的开展。经过23 d的治疗及护理,患者病情稳定出院。出院后随访4个月,患者状况良好。

关键词: 超高龄, 关节成形术,置换,髋, 肺栓塞, 危重病护理

Abstract: To summarize the nursing experience of artificial femoral head replacement in a super elderly patient with intertrochanteric fracture complicated with pulmonary embolism. For the patient had no obvious symptoms of pulmonary embolism,several basic diseases,and short time for preoperative preparation,we have taken a series of measures,including planning a multidisciplinary diagnosis and nursing scheme,evaluating and intervening the pulmonary embolism,observing the multimodal analgesic effect,postoperative nutritional support and early rehabilitation. After 23 days of treatment and nursing,the patient was discharged. The patient was followed up for 4 months after discharge and recovered well.

Key words: Super Eelderly, Arthroplasty,Replacement,Hip, Pulmonary Embolism, Critical Care Nursing

杨曾桢, 柏晓玲, 李玲, 张蕴凡. 超高龄肺栓塞极高危患者行人工股骨头置换术的护理[J]. 中华急危重症护理杂志, 2022, 3(3): 247-249.

YANG Zengzhen, BAI Xiaoling, LI Ling, ZHANG Yunfan. Nursing care of a 103-year-old patient with intertrochanteric fracture complicated with pulmonary embolism[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(3): 247-249.

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超高龄肺栓塞极高危患者行人工股骨头置换术的护理

Nursing care of a 103-year-old patient with intertrochanteric fracture complicated with pulmonary embolism

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