肺癌多发性脑转移患者急性脑梗死伴出血的护理  

Nursing care of a patient with multiple brain metastases from lung cancer and acute cerebral infarction accompanied by hemorrhage

作　　者：吕张红[1] 俞家慧 LU Zhanghong;YU Jiahui

机构地区：[1]浙江大学医学院附属第一医院呼吸内科,杭州市310003

出　　处：《中华急危重症护理杂志》2023年第5期451-454,共4页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例特鲁索综合征引起的急性缺血性脑梗死合并肿瘤多发性脑转移伴出血患者的护理体会。针对患者病情突变、进展迅速,采取早期识别特鲁索综合征相关脑梗死,提高卒中和栓塞风险预警能力;加强脑出血风险预警及预防措施,提高猝死风险判断能力;监测与调节颅内压、血压稳定,避免加重脑梗死及脑出血;关注家属心理,实时做好沟通,提高家庭支持系统功能;基于个案管理模式的自我症状监测,重点预防脑出血等护理措施,患者得到早发现、早预警、早诊断、早治疗。住院第15天,病情稳定,顺利出院。随访2周,患者情况良好,无颅内出血情况。To summarize the nursing experience of a patient with multiple acute ischemic cerebral infarction and hemorrhage caused by Trousseau syndrome and complicated with multiple tumor brain metastasis.In view of the mutation and rapid progress of the patient's condition,early identification of cerebral infarction related to Trousseau syndrome was adopted to improve the early warning ability of stroke and embolism risk.We strengthened the early warmning and preventive measures of cerebral hemorrhage risk,and improved the ability to judge the risk of sudden death;monitored and regulated the stability of intracranial pressure and blood pressure to avoid aggravating cerebral infarction and cerebral hemorrhage;payed attention to the psychology of family members,communicated well and im-prove the function of family support system.We provided self-symptom monitoring based on case management mode,focused on nursing measures such as prevention of cerebral hemorrhage,enabled patients to get early detection,early warning,early diagnosis and early treatment.The patient was stable and discharge on the15th day of hospitali-zation.Two weeks of follow-up showed that the patient was in good condition without intracranial hemorrhage.

关 键 词：副肿瘤综合征 大脑梗塞 脑出血 危重病护理 

分 类 号：R473[医药卫生—护理学]