1例肺动静脉瘘患者术后继发急性缺血性脑卒中的护理  

Nursing care of a patient with pulmonary arteriovenous fistula and postoperative acute ischemic stroke

作　　者：谢徐萍 余立梅 陈明祥 李福平 李志平 XIE Xuping;YU Limei;CHEN Mingxiang;LI Fuping;LI Zhiping

机构地区：[1]重庆医科大学附属第三医院(捷尔医院)心血管外科,重庆市401120

出　　处：《中华护理杂志》2024年第6期719-722,共4页Chinese Journal of Nursing

基　　金：重庆市教育委员会科学技术研究项目(KJQN202000437)。

摘　　要：总结1例肺动静脉瘘患者术后继发急性缺血性脑卒中的护理经验。护理要点如下:实施预见性护理,保证应急通道通畅;准确评估与早期识别,抓住黄金抢救时间;加强术后管理,促进重要器官康复;动态调整抗凝策略,保障患者最大获益;积极纠正围手术期贫血,预防并发症;通过智能随访系统实施延续性护理,促进身心康复。该患者经过多学科团队合作及精心护理,康复出院。To summarize the nursing experience of a patient with pulmonary arteriovenous fistula and secondary acute ischemic stroke after surgery.Nursing points include:implementing predictive care to ensure smooth emergency access;accurate evaluation and early identification to seize golden rescue time;strengthening postoperative management and promoting the recovery of important organs;dynamically adjusting anticoagulation strategies to ensure maximum benefit for patients;actively correcting perioperative anemia and preventing complications;implementing continuous care through an intelligent follow-up system to promote physical and mental recovery.The patient was discharged from hospital after multidisciplinary teamwork and careful nursing.

关 键 词：肺 动静脉瘘 卒中 外科手术 护理 

分 类 号：R473[医药卫生—护理学]