摘要
总结了1例肝癌合并冠心病患者经肱动脉行冠状动脉介入术后,并发皮下严重出血和皮下血肿的救治与护理体会。护理要点:术前进行充分的出血风险评估并做好急救预案,术后细致观察穿刺部位及周围皮肤的出血、渗血情况,早发现、早报告、早配合医生救治处理,避免出现骨筋膜室综合征。该患者救治快速准确,皮下出血得到及时控制,患者顺利度过了危险期。经过14 d的精心治疗与护理,患者康复出院。
Summarizing the nursing experience of one patient with hepatocellular carcinoma and coronary artery disease,who sufferred from subcutaneous hemorrhage and hematoma after percutaneous coronary intervention. Nursing key points ：rigorously nursing during perioperative period,adequately evaluation of preoperative risks and effective emergency plan.Then,carefully observing the bleeding of the puncture point and surrounding skin,and paying attention to patients complaints.Finding and reporting abnormal situation,and cooperating with doctors for treatment as soon as possible. Avoiding the occurrence of serious adverse effects such as osteofascial compartment syndrome.In this case,the patient was treated quickly and accurately,so the subcutaneous hemorrhage was controlled in time. After 14 days of careful treatment and nursing,the patient was recovered and discharged from hospital,and good therapeutic effect was achieved.
出处
《中华护理杂志》
CSCD
北大核心
2017年第2期158-160,共3页
Chinese Journal of Nursing
关键词
肝肿瘤
冠心病
肱动脉
出血
护理
Liver Neoplasms
Coronary Disease
Brachial Artery
Hemorrhage
Nursing Care
