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 ›› 2024, Vol. 5 ›› Issue (3): 241-243.doi: 10.3761/j.issn.2096-7446.2024.03.009

• 重症护理研究 • 上一篇    下一篇

以脑梗死为首发症状的卵巢癌患者围手术期护理

张莉, 李颖, 陈洁, 扬长捷, 宋新颖, 任岚岚   

  1. 100730 北京市 中国医学科学院北京协和医院妇产科
  • 收稿日期:2023-11-07 出版日期:2024-03-10 发布日期:2024-03-26
  • 通讯作者: 李颖,E-mail:liying3487@sina.com
  • 作者简介:张莉:女,本科,护师,E-mail:1406905069@qq.com
  • 基金资助:
    北京协和医院中央高水平医院临床科研专项(2022-PUMCH-B-031)

Perioperative care of a patient with ovarian cancer with cerebral infarction as the first symptom

ZHANG Li, LI Ying, CHEN Jie, YANG Changjie, SONG Xinying, REN Lanlan   

  • Received:2023-11-07 Online:2024-03-10 Published:2024-03-26

摘要: 总结1例以脑梗死为首发症状的卵巢癌患者围手术期护理体会。针对患者病情危重复杂,围手术期易诱发血栓和出血,术后并发症风险增加,患者心理康复、肢体康复等问题,组建多学科合作团队全程管理;术前充分评估病情,制订护理计划;做好桥接抗凝期间用药护理;积极预防肺栓塞及新发脑梗死;采用中药灌肠法预防术后肠梗阻;鼓励家属参与患者心理护理,促进康复。通过积极治疗和护理,患者于术后第9天顺利出院。术后随访6个月,恢复良好。

关键词: 卵巢肿瘤, 脑梗死, 围手术期护理, 危重病护理

Abstract: To summarize the perioperative nursing experience of a patient with ovarian cancer with cerebral infarction as the first symptom. In view of the patient's critical and complex condition,being prone to thrombosis and bleeding during perioperative period,the increasing risk of postoperative complications,the patient's psychological rehabilitation,limbs rehabilitation and other problems,the establishment of a multidisciplinary cooperation team was adopted to manage the whole process. We fully assessed the condition before surgery and formulated a nursing plan,did a good job of medication care during bridging anticoagulation,actively prevented pulmonary embolism and new cerebral infarction,used traditional Chinese medicine enema method to prevent postoperative intestinal obstruction,encourage family members to participate in patient psychological care to promote recovery. Through active treatment and nursing,the patient was discharged from the hospital on the 9th day after surgery. After 6 months of follow-up,the recovery was good.

Key words: Ovarian Neoplasms, Cerebral Infarction, Perioperative Nursing, Critical Care Nursing