1例心脏射频消融术后并发冠状动脉痉挛患者急救致阴囊血肿的护理  

Rehabilitation nursing of a patient with scrotal hematoma caused by emergency treatment of coronary vasospasm after cardiac radiofrequency ablation

作　　者：陆柯盈 秦彩萍[1] 钱慧丽珠 宋月霞[1] LU Keying;QIN Caiping;QIAN Huilizhu;SONG Yuexia

机构地区：[1]江苏省常州市第一人民医院心血管内科,213003

出　　处：《中华护理杂志》2025年第2期158-161,共4页Chinese Journal of Nursing

摘　　要：总结1例心脏射频消融术后短时间内反复发生冠状动脉痉挛的患者抢救过程中致阴囊血肿的护理经验。护理要点:心脏射频消融术后并发冠状动脉痉挛的识别与急救护理;加强心理护理,针对性指导戒烟管理;实施中西医结合的阴囊血肿护理方案;做好个体化随访及延续性康复护理。经过27 d的精心治疗和护理,患者左心室射血分数由术前39%恢复至术后57%,顺利出院。出院后进行延续性康复护理,1个月后,阴囊血肿明显消退。The rehabilitation and nursing experience of a patient with recurrent coronary vasospasm and emergency scrotal hematoma in a short time after cardiac radiofrequency ablation was summarized.Key nursing points include:identification and emergency care of coronary vasospasm after cardiac radiofrequency ablation;enhanced psychological care and targeted guidance for smoking cessation management;implementation of scrotal hematoma nursing plan with integrated Chinese and western medicine;development of individualized follow-up and continuous rehabilitation nursing,help to back to society.Through careful and professional treatment and nursing after 27 d,the patient’s left ventricular ejection fraction(LVEF)recovered from 39%to 57%,and the patient was discharged smoothly.After discharge,the patient underwent continuous rehabilitation care,and the scrotal hematoma subsided significantly in 1 month after discharge,and the activity endurance increased.

关 键 词：心脏射频消融术 冠脉痉挛 阴囊血肿 康复护理 

分 类 号：R473.5[医药卫生—护理学]