收稿日期: 2024-09-12
网络出版日期: 2025-06-06
基金资助
天津市教委科研计划项目(2023SK015)
The postoperative care of a patient with silicosis complicating chronic thromboembolic pulmonary hypertension
总结1例矽肺并发慢性血栓栓塞性肺动脉高压患者的术后护理体会。护理要点:肺动脉内膜剥脱术后肺缺血再灌注损伤的护理,降低残余肺动脉高压预防肺动脉高压危象,超声评估肺功能早期实施俯卧位通气,制订个性化最佳容量管理警惕肺水肿,组建多学科团队实施ICU过渡期康复护理。经过积极治疗和护理,患者成功脱机,顺利转出ICU。
关键词: 矽肺; 肺动脉高压; 肺动脉血栓内膜剥脱术; 危重病护理
刘海迎 , 张越 , 房倩娜 , 黄冬雪 , 高燕 , 沈悦好 . 矽肺并发慢性血栓栓塞性肺动脉高压患者的术后护理[J]. 中华急危重症护理杂志, 2025 , 6(6) : 707 -709 . DOI: 10.3761/j.issn.2096-7446.2025.06.013
To summarize the postoperative nursing experience of a patient with silicosis complicating chronic thromboembolic pulmonary hypertension. Nursing points included:care of pulmonary ischemia-reperfusion injury after pulmonary endarterectomy,reduction of residual pulmonary hypertension to prevent pulmonary hypertension crisis, early implementation of prone ventilation by ultrasound assessment of pulmonary function,formulation of personalized volume management with vigilance for pulmonary edema,and formation of a multidisciplinary team to implement ICU transitional rehabilitation nursing. After active treatment and anticipatory care,the patient was successfully extubated and transferred out of the ICU.
[1] | Yang J, Madani MM, Mahmud E,et al. Evaluation and manage-ment of chronic thromboembolic pulmonary hypertension[J]. Chest, 2023, 164(2):490-502. |
[2] | Taskar V. Chronic thromboembolic pulmonary hypertension-Time is of the essence[J]. J Postgrad Med, 2023, 69(4):187-189. |
[3] | Davies-van Es SA, Pennel TC, Brink J,et al. Pulmonary endar-terectomy for chronic thromboembolic pulmonary hypertension in Cape Town,South Africa[J]. Afr J Thorac Crit Care Med, 2023, 29(3):112-117. |
[4] | 邱化娟, 杨晶, 赵金金,等. 肺动脉血栓内膜剥脱术治疗CTEPH术后并发症的监护[J]. 齐鲁护理杂志, 2017, 23(20):104-106. |
Qiu HJ, Yang J, Zhao JJ,et al. Nursing care of postoperative complications of pulmonary thromboendarterectomy in the treatment of CTEPH[J]. J Qilu Nurs, 2017, 23(20):104-106. | |
[5] | 张玉琴, 方玲俐, 石丽,等. 肺动脉血栓内膜剥脱术后病人的监护[J]. 中华护理杂志, 2002,(6):24-25. |
Zhang YQ, Fang LL, Shi L,et al. Intensive care of the patient of pulmonary thromb-endarterectom[J]. Chin J Nurs, 2002,(6):24-25. | |
[6] | 杨非利, 李显文. 一例肺动脉内膜剥脱术患者的术后护理[J]. 实用临床护理学电子杂志, 2019, 4(11):65-66. |
Yang FL, Li XW. Postoperative care of a patient following pulmonary endarterectomy[J]. J Pract Clin Nurs (Electron Ed), 2019, 4(11):65-66. | |
[7] | 方秋月, 刘晨虹. 1例慢性血栓栓塞性肺动脉高压患者肺动脉内膜剥脱术后护理[J]. 天津护理, 2022, 30(06):737-739. |
Fang QY, Liu CH. Postoperative care of a patient with chronic thromboembolic pulmonary hypertension following pulmonary endarterectomy[J]. J Tianjin Nurs, 2022, 30(06):737-739. | |
[8] | 李丝静, 江智霞, 杨晓玲,等. 清醒俯卧位通气在急性低氧性呼吸衰竭患者中应用效果的Meta分析[J]. 中华护理杂志, 2023, 58(13):1640-1647. |
Li SJ, Jiang ZX, Yang XL,et al. Effectiveness of awake prone positioning in patients with acute hypoxemic respiratory fai-lure:a meta-analysis[J]. Chin J Nurs, 2023, 58(13):1640-1647. | |
[9] | 中国研究型医院学会危重医学专业委员会, 中国研究型医院学会危重医学专委会护理研究学组, 金歌,等. 基于循证的成人床旁超声护理专家共识[J]. 中华危重病急救医学, 2020, 32(9):1029-1039. |
The Critical Care Medicine Committee of the Chinese Research Hospital Association,the Nursing Research Group of the Critical Care Medicine Committee of Chinese Research Hospital Association,Jin G,et al. Evidence-based nursing expert consensus on adult bedside ultrasound[J]. Chin Crit Care Med, 2020, 32(9):1029-1039. |
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