高龄急性脑梗死患者继发腹壁巨大血肿的护理  

Nursing care of huge abdominal wall hematoma secondary to acute cerebral infarction in an aged patient

作　　者：陈金花[1] 马雅英 毛颖莉 吴肖飞[1] CHEN Jinhua;MA Yaying;MAO Yingli;WU Xiaofei

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市3100000

出　　处：《中华急危重症护理杂志》2023年第9期819-822,共4页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省医药卫生科技计划项目适宜技术培育推广项目(2022ZH005);浙江省医药卫生科技计划项目临床研究应用项目(2022KY803)。

摘　　要：总结1例高龄急性脑梗死患者继发腹壁巨大血肿的护理体会。护理要点:腹壁巨大血肿的早期识别和处理;一旦发现活动性出血,紧急落实肋间动脉栓塞术的围手术期护理;抗凝停止期间栓塞事件的预防以及落实早期多学科康复护理。经过19 d的治疗护理,患者病情稳定出院。随访1个月,患者状况良好。To summarize the nursing experience of huge abdominal wall hematoma secondary to acute cerebral infarction in an aged patient.Key points of care:early identification and management of huge abdominal wall hematoma;emergency perioperative nursing of intercostal artery embolization once active bleeding was found;prevention of embolic events during anticoagulation cessation and early multidisciplinary rehabilitation nursing.After 19 days of treatment and nursing,the patient was discharged stably.The patient was followed up for 1 month and he was in good condition.

关 键 词：新冠肺炎 急性脑梗死 老年人 80以上 血肿 危重病护理 

分 类 号：R473.74[医药卫生—护理学]