Nursing care of a patient with hemophilia A undergoing mitral valvuloplasty plus coronary artery bypass grafting
10.3760/cma.j.cn211501-20200313-01112
- VernacularTitle:一例血友病A型患者行二尖瓣成形加冠状动脉旁路移植术的护理
- Author:
Qiaozhen YANG
;
Xia CHEN
;
Li YANG
;
Qing WANG
- From:
Chinese Journal of Practical Nursing
2021;37(3):218-223
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical nursing practice of mitral valvuloplasty combined with coronary artery bypass grafting in a patient with hemophilia A who suffered acute mitral valve tendon rupture and coronary heart disease.Methods:Individualized care plans were developed for patients with hemophilia A who need mitral valvuloplasty and coronary artery bypass grafting. Nursing measures were conducted from anticoagulatiaon care, bleeding care, hypoxemia care, multimodal analgesic care, psychological care, discharge guidance and discharge follow-up.Results:After multidisciplinary comprehensive treatment and standardized, individualized nursing, the patient recovered well and discharged after surgery on the 13th day.Conclusions:Implement personalized anticoagulation programs and care for this patient's individual situation to ensure the patient's smooth perioperative period Effective implementation of various postoperative care measures to promote early recovery of patients and reduce the pain caused by the disease during their hospitalization, also to improve the patient's quality of life.
