一例侧颅底肿瘤多重耐药菌感染患者术后并发急性上消化道出血的护理  

Nursing care of a multi-drug resistant patient with upper gastrointestinal hemorrhage who underwent Lateral skull base:a case report

作　　者：王帅 何杏芳[1] 吴伟勤 熊才兵 黄秋雨[1] 郭海艳 Wang Shuai;He Xingfang;Wu Weiqin;Xiong Caibing;Huang Qiuyu;Guo Haiyan(Guanghua School of Stomatology,Hospital of Stomatology,Sun Yat-sen University,Guangzhou 510055,China)

机构地区：[1]中山大学附属口腔医院中山大学光华口腔医学院广东省口腔医学重点实验室,广州510055

出　　处：《中国实用护理杂志》2021年第11期856-860,共5页Chinese Journal of Practical Nursing

摘　　要：目的总结1例侧颅底肿瘤多重耐药菌感染患者术后并发急性上消化道出血的护理经验。方法2019年10月我院收治1例侧颅底肿瘤多重耐药菌感染患者。及早发现、及时处理上消化道出血症状;做好早期营养支持及肠外营养;加强胃管护理;预防下肢深静脉血栓及皮瓣血管危象;观察与预防颅底术后并发症,预防颈动脉破裂出血;做好多重耐药消毒隔离及终末消毒措施;给予心理护理,提高患者治疗的依从性。结果经过早发现早处理和精心的护理,急性上消化道出血症状得到及时控制,没有出现颅脑术后并发症,患者病情稳定,戴金属气管套管出院。结论针对侧颅底肿瘤多重耐药菌感染术后并发急性上消化道出血患者做好相应的护理,可以有效控制病情。Objective To sum up nursing experience of a multi-drug resistant patient with upper gastrointestinal hemorrhage who underwent Lateral skull base.Methods One patient with multi-drug resistant was admitted to our hospital in October,2019.To observe and prevent the postoperative complications of lateral skull base and to prevent the rupture bleeding of carotid artery.The early detection and treatment the symptoms of upper gastrointestinal bleeding is effective and necessary.Intervention for patient receiving nutrition therapy is promoted.Results By giving psychological care to improve patient compliance.The patient had no postoperative complications of lateral skull base,and the bleeding symptoms of upper gastrointestinal hemorrhage was controlled in time.Conclusion The patient was discharged from the hospital with a tracheal tube in a stable condition.

关 键 词：侧颅底 上消化道出血 多重耐药 护理 

分 类 号：R473.73[医药卫生—护理学] R473.5[医药卫生—临床医学]