卵巢癌并发急性缺血性脑卒中患者的急救护理

doi:10.3761/j.issn.2096-7446.2023.11.010

摘要/Abstract

摘要： 总结1例卵巢癌患者并发急性缺血性脑卒中的护理体会。针对患者脑卒中症状不典型、需短时间明确诊断和启动溶栓治疗等问题,护士及时启动快速反应团队、主导多学科合作;溶栓期间加强出血风险监测及管理;新辅助化疗期间重点防范梗死;进行分阶段康复训练,促进肢体康复。经过精心护理,顺利出院。后续及时、足量完成化疗,择期行手术治疗,随访3个月,患者状况良好。

关键词: 卵巢肿瘤, 缺血性卒中, 脑血管意外, 危重病护理

Abstract: This article summarized the nursing experience in managing a case of ovarian cancer patient with concurrent acute ischemic stroke. Considering the patient's atypical stroke symptoms,the need for prompt diagnosis and the initiation of thrombolytic therapy,the nurse promptly initiated rapid response team （RRT）and played a leading role in facilitating interdisciplinary collaboration. During the thrombolysis period,meticulous monitoring and management of bleeding risks were emphasized. Additionally,special attention was given to preventing ischemic events during neoadjuvant chemotherapy. The patient underwent phased rehabilitation training to promote limb recovery. With meticulous nursing care,the patient was discharged smoothly. The patient completed subsequent timely and adequate chemotherapy,and followed by scheduled surgical intervention. A 3-month follow-up assessment revealed that the patient's condition was good.

Key words: Ovarian Neoplasms, Ischemic Stroke, Cerebrovascular Accident, Critical Care Nursing

李峥嵘, 杨琳. 卵巢癌并发急性缺血性脑卒中患者的急救护理[J]. 中华急危重症护理杂志, 2023, 4(11): 1016-1018.

LI Zhengrong, YANG Lin. The emergency nursing of a patient with ovarian cancer and concurrent acute ischemic stroke[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(11): 1016-1018.

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