Multidisciplinary collaboration-based nursing for a patient undergoing percutaneous transluminal coronary angioplasty combined with cerebrovascular interventional surgery (多学科协作下1例经皮冠状动脉腔内成形术合并脑血管介入手术患者的护理)

Abstract

This paper summarized the multidisciplinary collaboration-based nursing measuers for a patient undergoing percutaneous transluminal coronary angioplasty (PTCA) combined with cerebrovascular interventional surgery. Key issues and consideration of nursing included: Close observation of vital signs, prevention of cardiac tamponade and intracranial hypertension after interventional surgery, monitoring of kidney function and coagulation function, prevention of arterial puncture bleeding and prevention of venous thrombosis of lower limbs, adopting the treatment of integrated Traditional Chinese and Western medicine to improve the symptoms of constipation and insomnia, improving the postoperative quality of life of patients, comprehensive analysis of patient psychological state after major surgery and implementation of corresponding psychological nursing and specific discharge guidance. (本文总结1例心脏血管经皮冠状动脉腔内成形术(PTCA)合并脑血管介入手术患者的护理措施。护理要点包括: 严密观察生命体征, 介入手术后预防心包填塞与颅内高压, 加强肾脏功能和凝血功能的监测, 预防动脉穿刺处出血和预防下肢静脉血栓形成, 通过给予中西医结合护理改善便秘及失眠的症状, 提高患者术后生活质量, 全面分析患者大手术后心理状态并给予相应的心理护理和有针对性的出院指导。)

Keywords

• multidisciplinary collaboration
• interventional therapy
• percutaneous transluminal coronary angioplasty
• nursing of integrated traditional chinese and western medicine
• 多学科协作
• 介入治疗
• 经皮冠状动脉腔内成形术
• 中西医结合护理