1例复杂先天性心脏病患儿术后出现心源性脑栓塞的护理体会  

Nursing experience of postoperative cardiogenic cerebral embolism in a child with complex congenital heart disease

作　　者：黄文雅[1] 苏红侠[1] 舒秀琼 HUANG Wenya;SU Hongxia;SHU Xiuqiong(Department of Emergency,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang,China;Intensive Care Unit,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang,China)

机构地区：[1]温州医科大学附属第二医院急诊科,浙江温州325000 [2]温州医科大学附属第二医院重症监护室,浙江温州325000

出　　处：《护士进修杂志》2024年第15期1663-1666,共4页Journal of Nurses Training

摘　　要：总结2023年6月我院收治的1例复杂先天性心脏病患儿术后12年出现心源性脑栓塞的护理体会。针对该患儿发病时脑梗死症状不典型、快速的病情进展、立即需颅内动脉取栓术等主要问题,采取紧急院内救护方案,包括快速识别急性脑梗死、团队合作,缩短术前准备时间、医护一体化院内安全转运及早期高压氧治疗+康复训练等。经过10 d的治疗及护理,患者已康复出院。出院后随访1个月,患儿状况良好。This article summarized the nursing experience of cardiogenic cerebral embolism in a child with complex congenital heart disease 12 years after operation,admitted to our hospital in June 2023.In view of the main problems such as atypical cerebral infarction symptoms,rapid disease progression,and immediate need for intracranial artery thrombectomy,emergency hospital rescue programs were adopted,including rapid identification of acute cerebral infarction,teamwork,shortening preoperative preparation time,integrated hospital transport,and early hyperbaric oxygen therapy + rehabilitation training.After 10 days of treatment and nursing,the patient had recovered and been discharged from hospital.After discharge,the patient was followed up for 1 month,and his condition was good.

关 键 词：心脏瓣膜假体植入 心源性脑栓塞 先天性心脏病 急救护理 

分 类 号：R473.54[医药卫生—护理学]