恶性胸腔积液行多次引流继发肋间假性动脉瘤破裂患者的护理  

Nursing of a patient with intercostal pseudoaneurysm rupture secondary to multiple drainage of malignant pleural effusion

作　　者：胡汉[1] 张蕊 陈轩 HU Han;ZHANG Rui;CHEN Xuan

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310051

出　　处：《中华急危重症护理杂志》2025年第4期452-454,共3页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例肺癌患者胸腔穿刺置管引流术后继发肋间假性动脉瘤破裂的护理体会。针对该例患者病情进展迅速且危重,早期识别和及时处理活动性胸腔内出血;评估并落实急性出血性凝血病治疗;正确实施肋间动脉栓塞术的围手术期护理;运用“5E康复管理模式”开展早期康复指导。经过18 d的治疗和护理,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 intercostal pseudoaneurysm rupture secondary to thoracocentesis tube placement and drainage in a patient with lung cancer.For the patient’s condition progressed rapidly and critically,we implemented early identification and timely treatment of active intrathoracic hemorrhage,assessment and implementation of the treatment of acute hemorrhagic coagulopathy,correct implementation of perioperative nursing care of intercostal artery embolization,and use of the“5E rehabilitation management model”to carry out early rehabilitation guidance.After 18 days of treatment and care,the patient was discharged with stable condition.During one month follow-up,the patient was in good condition.

关 键 词：肋间假性动脉瘤 胸腔引流 肺癌 危重病护理 

分 类 号：R473.73[医药卫生—护理学]