总结1例神经纤维瘤患者颈肩部假性动脉瘤破裂的急救及护理体会。针对本例患者颈肩部血肿不断增大、病情进展迅速、需缩短术前准备时间等问题,采取了深镇静结合镇痛模式下建立高级气道、开通双静脉通路、急救团队协作、启动院内危重患者转运流程、做好术后护理等措施。经13 d积极治疗与精细化护理,患者救治成功,顺利出院。
To summarize the nursing experience of a patient with neurofibroma complicated with a ruptured pseudoaneurysm of the neck and shoulder. In view of the increasing neck and shoulder hematoma, rapid disease progress and short preoperative preparation time in this patient,we adopted deep sedation combined with analgesia to establish an advanced airway,opened dual venous access,cooperated within the emergency team,and initiated intra-hospital critical care patient transfer process,implemented good postoperative care. After 13 days of active treatment and meticulous care,the patient successfully recovered and was discharged from the hospital.
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