eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (9): 1112-1114.doi: 10.3761/j.issn.2096-7446.2026.09.014

• Critical Care Research • Previous Articles     Next Articles

Nursing care of a patient with medullary infarction complicated by Mallory-Weiss tear following vertebral artery stenting

DING Yang(), ZHUANG Yiyu*(), HUANG Ruiying, YE Shan   

  1. Nursing DepartmentSir Run Run Shaw Hospital,Zhejiang University School of MedicineHangzhou 310016, China
  • Received:2025-09-20 Online:2026-09-10 Published:2026-08-31
  • Contact: * ZHUANG Yiyu,E-mail:zhuangyy@zju.edu.cn

Abstract:

To summarize the nursing experience of a patient who developed medullary infarction accompanied by Mallory-Weiss tear after vertebral artery stenting. Faced with the core challenge of balancing the risk of neurological deterioration from medullary infarction against the threat of fatal bleeding from the mucosal tear under antithrombotic therapy,nursing interventions were implemented,including systematic neurological monitoring for early warning of medullary infarction,integrated management of the Mallory-Weiss tear combining Chinese and Western medicine for antiemesis,stepwise and dynamically-balanced resumption of antithrombotic therapy,and risk-orientated phased nutritional support and swallowing management. After 16 days of treatment and nursing care,the patient was successfully discharged with good recovery during follow-up.

Key words: Vertebral Artery, Stent Implantation, Medullary Oblongata Infarction, Mallory-Weiss Tear, Critical Care Nursing