中华急危重症护理杂志2024,Vol.5Issue(3) :241-243.DOI:10.3761/j.issn.2096-7446.2024.03.009

以脑梗死为首发症状的卵巢癌患者围手术期护理

Perioperative care of a patient with ovarian cancer with cerebral infarction as the first symptom

张莉 李颖 陈洁 扬长捷 宋新颖 任岚岚
中华急危重症护理杂志2024,Vol.5Issue(3) :241-243.DOI:10.3761/j.issn.2096-7446.2024.03.009

以脑梗死为首发症状的卵巢癌患者围手术期护理

Perioperative care of a patient with ovarian cancer with cerebral infarction as the first symptom

张莉 1李颖 1陈洁 1扬长捷 1宋新颖 1任岚岚1
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作者信息

  • 1. 100730 北京市 中国医学科学院北京协和医院妇产科
  • 折叠

摘要

总结1例以脑梗死为首发症状的卵巢癌患者围手术期护理体会.针对患者病情危重复杂,围手术期易诱发血栓和出血,术后并发症风险增加,患者心理康复、肢体康复等问题,组建多学科合作团队全程管理;术前充分评估病情,制订护理计划;做好桥接抗凝期间用药护理;积极预防肺栓塞及新发脑梗死;采用中药灌肠法预防术后肠梗阻;鼓励家属参与患者心理护理,促进康复.通过积极治疗和护理,患者于术后第9天顺利出院.术后随访6个月,恢复良好.

Abstract

To summarize the perioperative nursing experience of a patient with ovarian cancer with cerebral in-farction as the first symptom.In view of the patient's critical and complex condition,being prone to thrombosis and bleeding during perioperative period,the increasing risk of postoperative complications,the patient's psychological re-habilitation,limbs rehabilitation and other problems,the establishment of a multidisciplinary cooperation team was adopted to manage the whole process.We fully assessed the condition before surgery and formulated a nursing plan,did a good job of medication care during bridging anticoagulation,actively prevented pulmonary embolism and new cerebral infarction,used traditional Chinese medicine enema method to prevent postoperative intestinal obstruc-tion,encourage family members to participate in patient psychological care to promote recovery.Through active treatment and nursing,the patient was discharged from the hospital on the 9th day after surgery.After 6 months of follow-up,the recovery was good.

关键词

卵巢肿瘤/脑梗死/围手术期护理/危重病护理

Key words

Ovarian Neoplasms/Cerebral Infarction/Perioperative Nursing/Critical Care Nursing

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基金项目

北京协和医院中央高水平医院临床科研专项(2022-PUMCH-B-031)

出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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