肺癌继发急性肠系膜静脉血栓形成患者的急救护理

doi:10.3761/j.issn.2096-7446.2023.01.007

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (1): 40-42.doi: 10.3761/j.issn.2096-7446.2023.01.007

肺癌继发急性肠系膜静脉血栓形成患者的急救护理

胡汉, 李尔丽

310000 杭州市浙江大学医学院附属第二医院滨江院区呼吸内科

收稿日期:2022-03-13 出版日期:2023-01-10 发布日期:2023-01-13
作者简介:胡汉：女,本科,副主任护师,E-mail：hh157581@zju.edu.cn
基金资助:
浙江省教育厅一般科研项目（自然科学类Y202147354）

Emergency nursing of a patient with acute mesenteric venous thrombosis secondary to lung cancer

HU Han, LI Erli

Received:2022-03-13 Online:2023-01-10 Published:2023-01-13

摘要/Abstract

摘要： 总结1例肺癌继发急性肠系膜静脉血栓形成患者的护理体会。护理要点：针对肺癌患者在剧烈胸痛时出现的腹痛，护士及时巡视评估，重视腹痛主诉，尽早明确急性肠系膜静脉血栓诊断，为后续治疗争取时间；在患者抗凝治疗过程中，护士及时评估患者出血风险和出血倾向，平衡抗凝和出血之间的矛盾；多学科团队协作护理贯穿患者救治过程。患者住院第20天病情平稳出院。

关键词: 肺肿瘤, 急性肠系膜静脉血栓, 急症护理

Abstract: To summarize the nursing experience of a patient with acute mesenteric venous thrombosis secondary to lung cancer. In terms of the abdominal pain presenting in lung cancer patients with severe chest pain,nurses patrolled and assessed patient's condition in time,valued on the patient's main complaint of abdominal pain,got early diagnosis of acute mesenteric venous thrombosis to get time for subsequent treatment. During the course of the patient's anticoagulation therapy,nurses promptly assessed the patient's bleeding risk and bleeding tendency,balanced the contradiction between anticoagulation and bleeding. Multi-team cooperation care ran through the whole rescue process. The patient was smoothly discharged from the hospital after 20 d of care.

Key words: Lung Neoplasms, Acute Mesenteric Venous Thrombosis, Emergency Nursing

胡汉, 李尔丽. 肺癌继发急性肠系膜静脉血栓形成患者的急救护理[J]. 中华急危重症护理杂志, 2023, 4(1): 40-42.

HU Han, LI Erli. Emergency nursing of a patient with acute mesenteric venous thrombosis secondary to lung cancer[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(1): 40-42.

参考文献

[1] Thandra KC,Barsouk A,Saginala K,et al. Epidemiology of lung cancer[J]. Contemp Oncol(Pozn),2021,25(1):45-52.
[2] 康小云,孙美𥖄. 急性肠系膜静脉血栓临床治疗的综合护理效果观察[J]. 基层医学论坛,2019,23(24):3455-3457.
Kang XY,Sun MX. Observation on the effect of comprehensive nursing in the clinical treatment of acute mesenteric venous thrombosis[J]. Med Forum,2019,23(24):3455-3457.
[3] 急诊危重症患者院内转运共识专家组. 急诊危重症患者院内转运共识—标准化分级转运方案[J]. 中华急诊医学杂志,2017,26(5):512-516.
Consensus Expert Group on Intra-hospital Transport of Emergency and Critically Ill Patients. Consensus on intra-hospital transport for critically ill emergency patients-a standardized and graded transport plan[J]. Chin J Emerg Med,2017,26(5):512-516.
[4] 曾妃,兰美娟,梁江淑渊,等. 以患者为中心的应急救治管理策略在烧爆伤患者中的应用[J]. 中华急危重症护理杂志,2022,3(1):57-60.
Zeng F,Lan MJ,Liang JSY,et al. The application of patient-centered emergency treatment management strategy in batches of patients with severe burn and blast combined injuries[J]. Chin J Emerg Crit Care Nurs,2022,3(1):57-60.
[5] 戴晶,姜宏,金红旭,等. 2020年中国急性肠系膜缺血诊断与治疗专家共识[J]. 临床急诊杂志,2020,21(10):763-773.
Dai J,Jiang H,Jin HX,et al. Expert consensus on diagnosis and treatment of acute mesenteric ischemia in China in 2020[J]. J Clin Emerg,2020,21(10):763-773.
[6] Konstantinides SV,Meyer G. The 2019 ESC guidelines on the diagnosis and management of acute pulmonary embolism[J]. Eur Heart J,2019,40(42):3453-3455.
[7] Gussoni G,Frasson S,la Regina M,et al. Three-month mortality rate and clinical predictors in patients with venous thromboembolism and cancer. Findings from the RIETE registry[J]. Thromb Res,2013,131(1):24-30.
[8] Kahn SR,Lim W,Dunn AS,et al. Prevention of VTE in nonsurgical patients:antithrombotic therapy and prevention of thrombosis,9th Ed:American college of chest physicians evidence-based clinical practice guidelines[J]. Chest,2012,141(2 Suppl):e195S-e226S.
[9] 中国健康促进基金会血栓与血管专项基金专家委员会,中华医学会呼吸病学分会肺栓塞与肺血管病学组,中国医师协会呼吸医师分会肺栓塞与肺血管病工作委员会. 医院内静脉血栓栓塞症防治与管理建议[J]. 中华医学杂志,2018,98(18):1383-1388.
Expert Committee of Thrombosis and Vascular Special Fund of China Health Promotion Foundation,Pulmonary Embolism and Pulmonary Vascular Disease Group of Respiratory Diseases Branch of Chinese Medical Association,Pulmonary Embolism and Pulmonary Vascular Disease Working Committee of Respiratory Physicians Branch of Chinese Medical Doctor Association. Suggestions for the prevention and management of VTE in the hospital[J]. Natl Med J China,2018,98(18):1383-1388.

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肺癌继发急性肠系膜静脉血栓形成患者的急救护理

Emergency nursing of a patient with acute mesenteric venous thrombosis secondary to lung cancer

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