急性A型主动脉夹层伴多器官灌注不良患者的护理

doi:10.3761/j.issn.2096-7446.2022.03.004

中华急危重症护理杂志 ›› 2022, Vol. 3 ›› Issue (3): 211-214.doi: 10.3761/j.issn.2096-7446.2022.03.004

• 心脑血管疾病急救护理专题 • 上一篇下一篇

急性A型主动脉夹层伴多器官灌注不良患者的护理

孙丽军, 郑薇亮, 王自强, 吴闯

361006 厦门市厦门大学附属心血管病医院心外科重症监护室

收稿日期:2022-02-07 出版日期:2022-05-10 发布日期:2022-05-08
通讯作者: 郑薇亮,E-mail：175711337@qq.com
作者简介:孙丽军：女,硕士,护师,E-mail：sunlijun6172021@163.com
基金资助:
厦门市医疗卫生指导性项目（3502Z20209148）

Nursing care of a patient with acute type A aortic coarctation complicated by multiorgan malperfusion syndrome

SUN Lijun, ZHENG Weiliang, WANG Ziqiang, WU Chuang

Received:2022-02-07 Online:2022-05-10 Published:2022-05-08

摘要/Abstract

摘要： 总结1例急性A型主动脉夹层伴多器官灌注不良患者的护理体会。针对患者病情复杂、术后并发症多的问题,护理重点：做好早期器官灌注不良症状及体征的观察和术前全面评估;术后严密监测血流动力学变化,维持机体有效灌注;组建多学科管理团队,为灌注不良器官提供精细化的功能支持护理;重视术后并发症的预防及院外随访管理。术后第25天患者由ICU转入普通病房,术后第30天好转出院。

关键词: 动脉瘤,夹层, 器官灌注不良, 危重病护理, 重症监护病房

Abstract: To summarize the nursing experience of a patient with type A aortic dissection complicated with multiorgan malperfusion syndrome. Such patients usually have complex conditions,severe postoperative complications and difficult care. Main points of nursing included observation of signs and symptoms of malperfusion and comprehensive preoperative evaluation,close monitoring of postoperative hemodynamic changes and maintenance of effective perfusion,formation of a multidisciplinary management team to provide patients with precision organ support for malperfusion organs,preventing the related complications postoperatively and out-of-hospital follow-up management. The patient was transferred from ICU to general ward on the 25th day and discharged on the 30th day after operation.

Key words: Aneurysm,Dissecting, Malperfusion Syndrome, Critical Care Nursing, Intensive Care Units

孙丽军, 郑薇亮, 王自强, 吴闯. 急性A型主动脉夹层伴多器官灌注不良患者的护理[J]. 中华急危重症护理杂志, 2022, 3(3): 211-214.

SUN Lijun, ZHENG Weiliang, WANG Ziqiang, WU Chuang. Nursing care of a patient with acute type A aortic coarctation complicated by multiorgan malperfusion syndrome[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(3): 211-214.

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急性A型主动脉夹层伴多器官灌注不良患者的护理

Nursing care of a patient with acute type A aortic coarctation complicated by multiorgan malperfusion syndrome

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