ISSN 2096-7446 CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (3): 241-243.doi: 10.3761/j.issn.2096-7446.2024.03.009

• 重症护理研究 • 上一篇    下一篇

以脑梗死为首发症状的卵巢癌患者围手术期护理

张莉 李颖 陈洁 扬长捷 宋新颖 任岚岚   

  • 出版日期:2024-03-10 发布日期:2024-03-26

Perioperative care of a patient with ovarian cancer with cerebral infarction as the first symptom

ZHANG Li,LI Ying,CHEN Jie,YANG Changjie,SONG Xinying,REN Lanlan   

  • Online:2024-03-10 Published:2024-03-26

摘要: 总结1例以脑梗死为首发症状的卵巢癌患者围手术期护理体会。 针对患者病情危重复杂,围手术期易诱发血栓和出血,术后并发症风险增加,患者心理康复、肢体康复等问题,组建多学科合作团队全程管理;术前充分评估病情,制订护理计划;做好桥接抗凝期间用药护理;积极预防肺栓塞及新发脑梗死;采用中药灌肠法预防术后肠梗阻;鼓励家属参与患者心理护理,促进康复。通过积极治疗和护理,患者于术后第9天顺利出院。术后随访6个月,恢复 良好。

关键词: 卵巢肿瘤, 脑梗死, 围手术期护理, 危重病护理

Abstract: To summarize the perioperative nursing experience of a patient with ovarian cancer with cerebral in- farction as the first symptom. In view of the patient’s critical and complex condition,being prone to thrombosis and bleeding during perioperative period,the increasing risk of postoperative complications,the patient’s psychological re- habilitation,limbs rehabilitation and other problems,the establishment of a multidisciplinary cooperation team was adopted to manage the whole process. We fully assessed the condition before surgery and formulated a nursing plan,did a good job of medication care during bridging anticoagulation,actively prevented pulmonary embolism and new cerebral infarction,used traditional Chinese medicine enema method to prevent postoperative intestinal obstruc- tion,encourage family members to participate in patient psychological care to promote recovery. Through active treatment and nursing,the patient was discharged from the hospital on the 9th day after surgery. After 6 months of follow-up,the recovery was good.

Key words: Ovarian Neoplasms, Cerebral Infarction, Perioperative Nursing, Critical Care Nursing