摘要
总结1例主动脉瓣中重度关闭不全合并肺癌患者经导管主动脉瓣置换同期行肺癌根治术的围手术期心肺康复护理实践。针对本例患者病情及手术方式进行综合评估,在引流管的选择、疼痛管理、休克期补液及术后咳嗽管理等方面做了针对性调整;以加速康复指南为指导,在呼吸康复、运动康复、心理康复方面制订了康复护理方案。心肺康复由患者、医护人员、康复治疗师及家属共同参与,在等待期、重症期、稳定期及离院前康复期采用不同的康复方案。其中,重症期心肺康复运动和肺部并发症的护理是护理难点,也是护理关键点;健康教育以及心理护理贯穿心肺康复全过程。术后第5天,患者由外科监护室转入普通病房,于术后第11天康复出院,随访1个月恢复良好。
To summarize the perioperative cardiopulmonary rehabilitation nursing practice of a patient with moderate to severe aortic valve insufficiency and lung cancer who underwent transapical aortic valve replacement and concurrent radical resection of lung cancer.On the basis of comprehensive assessment of the patient’s condition and surgical methods,targeted adjustments have been made in the selection of drainage tubes,pain management,fluid rehydration during shock and postoperative cough management.Guided by the accelerated rehabilitation guidelines,rehabilitation nursing programs have been formulated in terms of respiratory rehabilitation,motor rehabilitation and psychological rehabilitation.The implementation of cardiopulmonary rehabilitation involved the participation of patients,medical staff,therapists and the families.Different rehabilitation programs were adopted during the waiting period,critical period,stable period and pre-discharge recovery period.The cardiopulmonary rehabilitation exercise and the nursing of pulmonary complications were the key points of nursing care.Health education and psychological care was performed throughout the whole process of cardiopulmonary rehabilitation.The patient was transferred from the surgical intensive care unit to the general ward on the 5 th day after the operation,recovered and discharged on the 11 th day after the operation.The patient recovered well after 1 month of follow-up.
作者
陈霞
杨巧珍
叶少梅
叶娟
CHEN Xia;YANG Qiaozhen;YE Shaomei;YE Juan
出处
《中华急危重症护理杂志》
2021年第3期225-231,共7页
Chinese Journal of Emergency and Critical Care Nursing
关键词
经导管主动脉瓣植入
肺肿瘤
康复护理
Transcatheter Aortic Valve Implantation
Lung Neoplasms
Rehabilitation Nursing
