胰十二指肠切除术后患者多发内脏动脉瘤反复破裂的急救护理  

Emergency nursing for a patient with multiple visceral artery aneurysm ruptures after pancreaticoduo-denectomy

作　　者：劳笑黎 徐虹霞[2] 葛国梅 卞丽芳[1] LAO Xiaoli;XU Hongxia;GE Guomei;BIAN Lifang

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州市310003 [2]浙江大学医学院附属邵逸夫医院护理部

出　　处：《中华急危重症护理杂志》2025年第3期329-331,共3页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例胰十二指肠切除术后患者多处内脏动脉假性动脉瘤反复破裂致假性消化道大出血的护理体会。针对患者动脉瘤破裂时症状不典型、病情进展迅速等护理问题,采用延迟性出血风险评分模型预测大出血风险,出血发生时及时启动链式急救预案;多学科协作完善门静脉重建后的专科护理;落实以双轨制评估为导向的肠内营养支持;平衡出血和血栓,防止血栓和出血加剧等措施。经过56 d精心救护,患者康复出院。To summarizes the nursing experience of a patient with repeated ruptures of multiple intra-abdominal pseudoaneurysms after pancreaticoduodenectomy leading to pseudo-gastrointestinal hemorrhage.For nursing issues such as atypical symptoms and rapid progression of the condition when the aneurysm ruptured,measures were taken,including closely monitoring the risk of delayed major bleeding and promptly initiating a chain emergency response plan,multi-dimensional management to improve specialized nursing care after portal vein reconstruction,intestinal nutrition support scheme guided by dual-track assessment,balancing bleeding and thrombosis to prevent thrombosis from worsening.After 56 days of meticulous care,the patient recovered and was discharged.

关 键 词：胰十二指肠切除术 动脉瘤 消化道出血 危重病护理 

分 类 号：R473.6[医药卫生—护理学]