To summarize the perioperative nursing experience of a patient with giant ovarian mucinous cystadenoma. A giant ovarian tumor can lead to serious complications such as spontaneous rupture and compression of the tumor,leading to organ dysfunction. In terms of the huge tumor size,severe anemia,malnutrition,and emotional instability in the patient,we adopted comprehensive preoperative assessment,took measures to improve anemia and provide timely psychological counseling. Effective intraoperative management was implemented and preventive measures were developed for postoperative recurrent pulmonary edema,stress ulcer bleeding,deep vein thrombosis,and pulmonary embolism through cross departmental medical and nursing team discussions. After active treatment and meticulous nursing care,the patient was successfully discharged on the 6th day after surgery and had a good prognosis during 6 months of follow-up.
LI Zhengrong
,
XU Meihong
,
QIAN Weiming
,
YANG Lin
. Perioperative nursing of a patient with giant ovarian mucinous cystadenoma[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(6)
: 545
-548
.
DOI: 10.3761/j.issn.2096-7446.2024.06.011
[1] 谢幸,孔北华,段涛. 妇产科学[M]. 9版. 北京:人民卫生出版社,2018.
Xie X,Kong BH,Duan T.Obstetrics and gynecology[M]. 9th ed. Beijing:People's Medical Publishing House,2018.
[2] Fu L,Ren F,Ma X,et al.Postmenopausal giant ovarian tumor:a rare case report and literature review[J]. Menopause,2022,29(8):993-998.
[3] 狄文. 静脉铁剂在妇科肿瘤围手术期贫血治疗中的应用[J]. 临床药物治疗杂志,2023,21(1):44-48.
Di W.Application of intravenous iron in the treatment of perioperative anemia in gynecological oncology[J]. Clin Med J,2023,21(1):44-48.
[4] Kluz T,Bogaczyk A,Wita-Popów B,et al.Giant ovarian tumor[J]. Medicina,2023,59(10):1833.
[5] 向虹. 围手术期病人心理护理体会[J]. 心理医生,2017,23(33):240-241.
Xiang H.Psychological nursing experience of perioperative patients[J]. Psychologist,2017,23(33):240-241.
[6] 邢乐幸,杨茜,张小辉,等. 不同阶段复张性肺水肿患者护理措施研究进展[J]. 实用临床护理学电子杂志,2020,5(26):194-195.
Xing(L/Y)X,Yang(Q/X),Zhang XH,et al. Research progress on nursing measures of patients with different stages of re-cruitment pulmonary edema[J]. Electron J Pract Clin Nurs Sci,2020,5(26):194-195.
[7] 徐光辉. 腹部手术后泮托拉唑与H2受体阻滞剂对预防应激性溃疡出血的疗效比较[J]. 中外医学研究,2018,16(34):135-136.
Xu GH.Comparison of pantoprazole and H2 receptor blockers in preventing stress ulcer bleeding after abdominal surgery[J]. Chin Foreign Med Res,2018,16(34):135-136.
[8] 李彩娥,霍雨佳. 集束化护理干预对预防妇科手术患者深静脉血栓形成中的效果[J]. 血栓与止血学,2022,28(3):522-523.
Li CE,Huo YJ.Effect of cluster nursing intervention on prevention of deep venous thrombosis in patients undergoing gynecological surgery[J]. Chin J Thromb Hemostasis,2022,28(3):522-523.