肺癌患者胸腔镜手术中并发肺动静脉破裂大出血的急救护理

doi:10.3761/j.issn.2096-7446.2023.01.010

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (1): 49-51.doi: 10.3761/j.issn.2096-7446.2023.01.010

肺癌患者胸腔镜手术中并发肺动静脉破裂大出血的急救护理

杨小娜, 戴秋蓉, 张磊, 张玉萍

310009 杭州市浙江大学医学院附属第二医院护理部（杨小娜,张玉萍）,手术室（戴秋蓉,张磊）

收稿日期:2022-05-03 出版日期:2023-01-10 发布日期:2023-01-13
作者简介:杨小娜：女,本科,主管护师,E-mail：2201073@zju.edu.cn

Emergency care of a patient with lung cancer complicated with pulmonary arteriovenous rupture and massive hemorrhage during thoracoscopy

YANG Xiaona, DAI Qiurong, ZHANG Lei, ZHANG Yuping

Received:2022-05-03 Online:2023-01-10 Published:2023-01-13

摘要/Abstract

摘要： 总结1例行胸腔镜手术的肺癌患者术中并发肺动静脉血管破裂致大出血、术中急转双侧开胸手术的急救护理体会。针对术中突发情况、病情进展迅速,立即成立抢救团队且合理分工,有序开展救治。护理要点：护理人员分工、抢救配合护理重点及并发症的预防与处理。历经4 h医院快速反应小组抢救,患者成功止血,脱离危险。术后第13天康复出院。

关键词: 出血, 医院快速反应小组, 手术中护理, 急症护理, 病人安全

Abstract: To summarize the emergency care of a patient with lung cancer undergoing thoracoscopic surgery and complicated with pulmonary arteriovenous rupture and massive hemorrhage,and then undergoing unplanned bilateral thoracotomy. In view of the emergency during the operation and the rapid progress of the disease,the rescue team was immediately set up and the reasonable division of team members was carried out in an orderly manner. The key points of nursing care included division of nursing staff,key nursing points of rescue coordination and the prevention and treatment of complications. The patient was successfully saved from massive haemorrhage after 4 hours of rescue by the rapid response team. On the 13th day after the surgery,the patient recovered and was discharged.

Key words: Haemorrhage, Hospital Rapid Response Team, Intraoperative Care, Emergency Nursing, Patient Safety

杨小娜, 戴秋蓉, 张磊, 张玉萍. 肺癌患者胸腔镜手术中并发肺动静脉破裂大出血的急救护理[J]. 中华急危重症护理杂志, 2023, 4(1): 49-51.

YANG Xiaona, DAI Qiurong, ZHANG Lei, ZHANG Yuping. Emergency care of a patient with lung cancer complicated with pulmonary arteriovenous rupture and massive hemorrhage during thoracoscopy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(1): 49-51.

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肺癌患者胸腔镜手术中并发肺动静脉破裂大出血的急救护理

Emergency care of a patient with lung cancer complicated with pulmonary arteriovenous rupture and massive hemorrhage during thoracoscopy

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