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 (6): 545-548.doi: 10.3761/j.issn.2096-7446.2024.06.011

• 重症护理研究 • 上一篇    下一篇

巨大卵巢黏液性囊腺瘤患者的围手术期护理

李峥嵘, 徐美红, 钱维明, 杨琳   

  1. 310000 杭州市 浙江大学医学院附属第二医院护理部
  • 收稿日期:2023-12-11 发布日期:2024-06-21
  • 通讯作者: 杨琳,E-mail:2201074@zju.edu.cn
  • 作者简介:李峥嵘:女,本科,主管护师,护士长,E-mail:lzr4620@sina.com

Perioperative nursing of a patient with giant ovarian mucinous cystadenoma

LI Zhengrong, XU Meihong, QIAN Weiming, YANG Lin   

  • Received:2023-12-11 Published:2024-06-21

摘要: 总结1例罕见巨大卵巢黏液性囊腺瘤患者的围手术期护理体会。巨大卵巢肿瘤会出现肿瘤自发破裂、压迫导致脏器功能障碍等严重并发症,针对该患者瘤体巨大、重度贫血、健康营养低下和情绪不稳定等问题,进行全面的术前评估,采取措施改善贫血和及时心理疏导;通过跨科室医护团队讨论,做好术中管理,制订预防术后复张性肺水肿、应激性溃疡出血、深静脉血栓及肺栓塞等防范措施。经过积极治疗和细致护理,该患者于手术后第6天顺利出院,随访6个月,预后良好。

关键词: 巨大卵巢粘液性囊腺瘤, 贫血, 多学科合作, 围手术期护理

Abstract: To summarize the perioperative nursing experience of a patient with giant ovarian mucinous cystadenoma. A giant ovarian tumor can lead to serious complications such as spontaneous rupture and compression of the tumor,leading to organ dysfunction. In terms of the huge tumor size,severe anemia,malnutrition,and emotional instability in the patient,we adopted comprehensive preoperative assessment,took measures to improve anemia and provide timely psychological counseling. Effective intraoperative management was implemented and preventive measures were developed for postoperative recurrent pulmonary edema,stress ulcer bleeding,deep vein thrombosis,and pulmonary embolism through cross departmental medical and nursing team discussions. After active treatment and meticulous nursing care,the patient was successfully discharged on the 6th day after surgery and had a good prognosis during 6 months of follow-up.

Key words: Giant Mucinous Cystadenoma of the Ovary, Anemıa, Multidisciplinary Cooperation, Periope-rative Nursing