矽肺并发慢性血栓栓塞性肺动脉高压患者的术后护理

doi:10.3761/j.issn.2096-7446.2025.06.013

Abstract

Abstract:

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.

Key words: Silicosis, Pulmonary Hypertension, Pulmonary Thromboendarterectomy, Critical Care Nursing

LIU Haiying, ZHANG Yue, FANG Qianna, HUANG Dongxue, GAO Yan, SHEN Yuehao. The postoperative care of a patient with silicosis complicating chronic thromboembolic pulmonary hypertension[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 707-709.

References 9

[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. doi: 10.4103/jpgm.jpgm_707_23 pmid: 37843151
[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. doi: 10.3761/j.issn.0254-1769.2023.13.017
	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. doi: 10.3760/cma.j.cn121430-20200817-00584 pmid: 33081886

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The postoperative care of a patient with silicosis complicating chronic thromboembolic pulmonary hypertension

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