ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
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

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (3): 315-318.doi: 10.3761/j.issn.2096-7446.2026.03.010

• 急症护理研究 • 上一篇    下一篇

肺栓塞致心搏骤停患者并发肝血管瘤破裂的急救护理

高彬炳(), 王飒, 周帅帅, 张玉坤, 王钰炜*()   

  1. 浙江大学医学院附属第二医院护理部 杭州市 310009
  • 收稿日期:2025-07-15 出版日期:2026-03-10 发布日期:2026-03-02
  • 通讯作者: 王钰炜 E-mail:2615474@zju.edu.cn;zrwyw@zju.edu.cn
  • 作者简介:高彬炳：女，本科，主管护师，E-mail：2615474@zju.edu.cn

Emergency nursing of a patient with cardiac arrest caused by pulmonary embolism complicated by ruptured hepatic hemangioma

GAO Binbing(), WANG Sa, ZHOU Shuaishuai, ZHANG Yukun, WANG Yuwei*()   

  1. Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China
  • Received:2025-07-15 Online:2026-03-10 Published:2026-03-02
  • Contact: WANG Yuwei E-mail:2615474@zju.edu.cn;zrwyw@zju.edu.cn

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摘要：

总结1例肺栓塞致心搏骤停患者经体外心肺复苏后并发肝血管瘤破裂的急救护理体会。针对心搏骤停突发、病情进展迅速及术后抗凝与出血双重风险的特点，护理团队采取了“零延迟”体外复苏团队启动、多学科协作救治、术后出血的早期预警、抗凝与止血平衡管理，以及目标体温与神经保护等精细化护理措施。经过积极的治疗干预，患者在术后第17天顺利康复出院，并在随后的6个月随访中预后良好。

关键词: 肺栓塞, 体外心肺复苏, 肝血管瘤破裂, 心搏骤停, 急症护理

Abstract:

To summarize the emergency nursing experience for a patient with pulmonary embolism who developed ruptured hepatic hemangioma following extracorporeal cardiopulmonary resuscitation（ECPR）. Given the sudden onset，rapid progression，and dual risks of anticoagulation and bleeding，the nursing team implemented refined interventions，including zero-delay ECPR team activation，multidisciplinary collaboration，early warning of postoperative hemorrhage，dynamic anticoagulation-hemostasis balance management，and targeted temperature and neurological protection. After active intervention，the patient recovered and was discharged on postoperative day 17，with favorable outcomes at 6-month follow-up.

Key words: Pulmonary Embolism, Extracorporeal Cardiopulmonary Resuscitation, Ruptured Hepatic Hemangioma, Heart Arrest, Emergency Nursing