总结1例因误吞缝针导致其刺入肺动脉外膜,行紧急开胸心内异物取出术患者的急救护理体会。针对缝针已破入患者心包腔,毗邻大血管,对大出血、气胸、心脏压塞的风险进行综合评估,根据“成人食管异物急诊处理专家共识（2020版）”快速启动多学科诊疗预案,针对性调整出血和气胸等的预防和早期识别、规范转运和交接方案,团队紧密合作为患者尽早手术赢得宝贵时间;精细化营养管理、并发症预防与护理是术后护理的难点。经过14 d的治疗及护理,患者康复出院。出院后随访3个月,患者状况良好。
To summarize the emergency nursing experience of a patient who underwent emergency thoracotomy for intracardiac mental foreign body removal due to accidental swallowing of the suture needle which penetrated into the adventitia of the pulmonary artery. Comprehensive assessment of the risk of major hemorrhage,pneumothorax,and cardiac tamponade should be carried out because the suture needle has broken into the pericardial cavity and was adjacent to the great blood vessels. According to the expert consensus on emergency treatment of esophageal foreign bodies in adults（2020 version）,the multidisciplinary diagnosis and treatment plan was quickly launched,the prevention and early identification of bleeding and pneumothorax and standardized transport and handover plans were adjusted in a targeted manner. Close team work allowed the patient valuable time for early surgery. Refinement nutrition management,complication prevention and nursing were the difficult points of postoperative care. After 14 days of treatment and nursing,the patient recovered and was discharged from the hospital. After 3 months of follow-up,the patient was in good condition.
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