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.
YU Jingjing
,
WANG Yuwei
,
WANG Sa
,
ZHANG Yukun
. Nursing care of a patient with neurofibroma complicated with rupture of pseudoaneurysm of neck and shoulder[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022
, 3(3)
: 221
-223
.
DOI: 10.3761/j.issn.2096-7446.2022.03.007
[1] 蔡颖,叶惠平. 1例神经纤维瘤伴颈部血肿形成病例报道[J]. 临床医学研究与实践,2020,5(8):4-5,12.
Cai Y,Ye HP.A case report of neurofibromatosis with neck hematoma formation[J]. Clin Res Pract,2020,5(8):4-5,12.
[2] Kaas B,Huisman TA,Tekes A,et al.Spectrum and prevalence of vasculopathy in pediatric neurofibromatosis type1[J]. J Child Neurol,2013,28(5):561-569.
[3] Alurkar A,Prasanna Karanam LS,Oak S.Endovascular treatment of basilar artery stenosis due to cerebral vasculopathy related to neurofibromatosis(NF1)[J]. J Vasc Interv Neurol,2014,7(1):5-7.
[4] 潘源,闫亚洲,吴一娜,等. Tubridge血流导向装置治疗外伤性颈内动脉假性动脉瘤一例[J]. 中国脑血管病杂志,2019,16(6):321-323.
Pan Y,Yan YZ,Wu YN,et al.Endovascular treatment of a traumatic carotid pseudoaneurysm with the Tubridge stent:a case report[J]. Chin J Cerebrovasc Dis,2019,16(6):321-323.
[5] 熊丽媛,吴绍萍,瞿筱甦. 1例经股动脉介入诊疗术后并发假性动脉瘤患者的护理分析[J]. 检验医学与临床,2020,17(15):2268-2270.
Xiong LY,Wu SP,Qu XS.Nursing analysis of a patient with pseudoaneurysm after transfemoral artery interventional diagnosis and treatment[J]. Lab Med Clin,2020,17(15):2268-2270.
[6] 刘妍,袁裕衡,马明圣,等. NF1基因突变致1型神经纤维瘤病8例临床分析[J]. 2016,34(11):819-824.
Liu Y,Yuan YH,Ma MS,et al.NF1 mutation analysis in 8 Chinese patients with neuroifbromatosis type 1[J]. J Clin Pediatr, 2016,34(11):819-824.
[7] 中华医学会重症医学分会. 中国成人ICU镇痛和镇静治疗指南[J]. 中华危重病急救医学,2018,30(6):497-514.
Critical Care Medicine Committee of Chinese Medical Association. Guidelines for analgesia and sedation treatment in intensive care unit of Chinese adults[J]. Chin Crit Care Med,2018,30(6):497-514.
[8] 谢寿峰,路霖. 高原地区凝血酶原复合物联合纤维蛋白原在主动脉置换围术期的治疗研究[J]. 临床心血管病杂志,2019,35(12):1138-1140.
Xie SF,Lu L.Study of prothrombin complex combined with fibrinogen in the perioperative period of aortic replacement in plateau area[J]. J Clin Cardiol,2019,35(12):1138-1140.
[9] 张书芬,张兵锋,杨芳,等. 血浆与红细胞比例差异对大量输血患者凝血功能及不良事件发生风险的影响[J]. 中国实用医刊,2017,44(17):17-20.
Zhang SF,Zhang BF,Yang F,et al.Influence of plasma to red blood cell ratio on coagulation function and risk of adverse events in patients with massive transfusion[J]. Chin J Pract Med, 2017,44(17):17-20.
[10] Cockburn J,de Belder A,Brooks M,et al. Large calibre arterial access device closure for percutaneous aortic valve interventions:use of the prostar system in 118 cases[J]. Catheter Cardio Inte,2012,79(1):143-149.
