1例术中并发急性肺栓塞的抢救与护理

目的 探讨术中并发急性肺栓塞的抢救与护理.方法 回顾性分析1例双下肢骨折病例术中并发急性肺栓塞的抢救护理过程.结果 拟定术中并发急性肺栓塞的抢救护理预案,本例患者抢救成功.结论 患者长期卧床、术肢制动、下肢静脉血流缓慢、外伤是形成肺栓塞的主要危险因素.护理人员必须提高对肺栓塞的认识,密切观察病情变化及特点,准确评估和判断,争取抢救时间.协助医生尽快确诊,进行及时有效的溶栓抗凝治疗是抢救成功的关键.总结护理经验,制定护理预案,使患者转危为安是最终的护理目标.

Nursing and the first aid of the intercurrent acute pulmonary embolism in surgery

Objective To explore the first aid and nursing of the intercurrent acute pulmonary embolism in surgery. Methods Reviewing and analyzing the process of first aid and nursing in a case of intercurrent acute pulmonary embolism in the both legs fracture surgery. Results The case of intercurrent acute pulmonary embolism was successfully rescued by our pre-plan nursing. Conclusions Keeping lay up, limb braking, slow venous blood flow and trauma are the main factors influencing the incidence of pulmonary embolism. The nurses must enhance the knowledge of pulmonary embolism, observe the change of the situation frequently, make the true evaluation and judgment, and grasp the golden time for rescue. Helping doctors make the diagnoses as soon as possible and using thrombolytic and anticoagulant therapy in time were the key points of the successful first aid. The final targets of nurse were summarizing the experiences, making the nursing preplan of first aid and curing the patients.