高龄急性脑梗死患者继发腹壁巨大血肿的护理

doi:10.3761/j.issn.2096-7446.2023.09.010

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (9): 819-822.doi: 10.3761/j.issn.2096-7446.2023.09.010

高龄急性脑梗死患者继发腹壁巨大血肿的护理

陈金花, 马雅英, 毛颖莉, 吴肖飞

310000 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2023-02-23 出版日期:2023-09-10 发布日期:2023-09-21
作者简介:陈金花：女,硕士,副主任护师,护士长,E-mail：2193009@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目适宜技术培育推广项目（2022ZH005）;浙江省医药卫生科技计划项目临床研究应用项目（2022KY803）

Nursing care of huge abdominal wall hematoma secondary to acute cerebral infarction in an aged patient

CHEN Jinhua, MA Yaying, MAO Yingli, WU Xiaofei

Received:2023-02-23 Online:2023-09-10 Published:2023-09-21

摘要/Abstract

摘要： 总结1例高龄急性脑梗死患者继发腹壁巨大血肿的护理体会。护理要点：腹壁巨大血肿的早期识别和处理;一旦发现活动性出血,紧急落实肋间动脉栓塞术的围手术期护理;抗凝停止期间栓塞事件的预防以及落实早期多学科康复护理。经过19 d的治疗护理,患者病情稳定出院。随访1个月,患者状况良好。

关键词: 新冠肺炎, 急性脑梗死, 老年人, 80以上, 血肿, 危重病护理

Abstract: To summarize the nursing experience of huge abdominal wall hematoma secondary to acute cerebral infarction in an aged patient. Key points of care：early identification and management of huge abdominal wall hematoma;emergency perioperative nursing of intercostal artery embolization once active bleeding was found;prevention of embolic events during anticoagulation cessation and early multidisciplinary rehabilitation nursing. After 19 days of treatment and nursing,the patient was discharged stably. The patient was followed up for 1 month and he was in good condition.

Key words: COVID-19, Brain Infarction, Aged, 80 and Over, Hematoma, Critical Care Nursing

陈金花, 马雅英, 毛颖莉, 吴肖飞. 高龄急性脑梗死患者继发腹壁巨大血肿的护理[J]. 中华急危重症护理杂志, 2023, 4(9): 819-822.

CHEN Jinhua, MA Yaying, MAO Yingli, WU Xiaofei. Nursing care of huge abdominal wall hematoma secondary to acute cerebral infarction in an aged patient[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(9): 819-822.

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高龄急性脑梗死患者继发腹壁巨大血肿的护理

Nursing care of huge abdominal wall hematoma secondary to acute cerebral infarction in an aged patient

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