关键词: 腹主动脉血栓形成, 脑梗死, 关节成形术, 置换, 髋, 围手术期护理, 病人交接

Abstract:

This paper summarized risk warning and checklist-based nursing care for a patient with abdominal aortic mural thrombus who developed new-onset cerebral infarction during the perioperative period of hip arthroplasty. The patient underwent recent percutaneous coronary intervention and left femoral head replacement，with previous ischemic stroke，preoperative asymptomatic cerebral infarction，and abdominal aortic mural thrombus. New lacunar infarction in the left cerebellum and suspected new lacunar infarction in the left parietal lobe were reported on postoperative day 3. Nursing care focused on explicit handover of the four high-risk factors and confirmation of the preoperative neurological baseline，continuous neurological monitoring during the symptomatic period，lesion-directed assessment of abdominal aortic mural thrombus，monitoring of antithrombotic therapy-related risks，multidisciplinary bedside handover checklist management，and symptom-tolerated graded rehabilitation. No new disturbance of consciousness，speech，swallowing，or limb function occurred. No thrombus dislodgement-related manifestations or bleeding complications were observed，and the patient was transferred to a rehabilitation institution on postoperative day 6.

Key words: Abdominal Aortic Thrombosis, Brain Infarction, Arthroplasty, Replacement, Hip, Perioperative Nursing, Patient Handoff