一例肺占位合并胸主动脉假性动脉瘤患者的护理  

Nursing care of 1 case of pulmonary space occupation combined with thoracic aortic pseudoaneurysm

作　　者：吕张红[1] 袁妞 胡燕[2] Lyu Zhanghong;Yuan Niu;Hu Yan(Department of Respiratory Medicine,the First Affiliated Hospital of Zhejiang University Medical College,Hangzhou 310002,China;Cancer Ward 4,the First Affiliated Hospital of Zhejiang University Medical College,Hangzhou 310002,China)

机构地区：[1]浙江大学医学院附属第一医院呼吸内科,杭州310002 [2]浙江大学医学院附属第一医院肿瘤四病房,杭州310002

出　　处：《中国实用护理杂志》2020年第33期2607-2609,共3页Chinese Journal of Practical Nursing

摘　　要：目的总结1例肺占位合并胸主动脉假性动脉瘤的护理经验。方法对肺占位伴胸部疼痛患者进行鉴别评估及判断,通过科学的预警机制、快速反应团队及多部门协作,第一时间为患者实施腔内隔绝术(EVGE),配合做好相应护理。结果先健支架置入后被立即隔绝,远端动脉血流通畅,无内瘘、截瘫、深静脉血栓等并发症,顺利出院。结论将"预则立"的护理思维渗透到临床护理工作中,善于发现临床中非常态状况,提高疑难急危重症护理水平。Objective To summarize the nursing experience of 1 case of pulmonary space occupation with thoracic aortic pseudoaneurysm.Methods The patients with lung occupation accompanied by chest pain were identified,evaluated and judged.Through scientific warning mechanism,rapid response team and multi-department cooperation,EVGE was performed for the patients as soon as possible,and the corresponding nursing was coordinated.Results After the placement of the stent,the patient was immediately isolated,with free blood circulation in the distal artery,without complications such as internal fistula,paraplegia,deep vein thrombosis,etc.,and was discharged from the hospital smoothly.Conclusion Nursing thinking of"predisposing"is permeated into clinical nursing work,and it is good at finding abnormal conditions in clinical practice and improving the level of difficult and critical care.

关 键 词：护理思维 肺占位 胸主动脉假性动脉瘤 胸主动脉假性动脉瘤腔内隔绝术 

分 类 号：R473.73[医药卫生—护理学]