Nursing care of an elderly patient with fulminant myocarditis and acute myocardial infarction in emergency heart transplantation
10.3760/cma.j.cn211501-20201022-04252
- VernacularTitle:一例暴发性心肌炎合并急性心肌梗死老年患者紧急心脏移植的护理
- Author:
Xujing ZHU
1
;
Jiehui FENG
;
Yangzi WANG
Author Information
1. 浙江大学医学院附属第一医院心脏大血管外科，杭州 310003
- Keywords:
Aged;
Nursing care;
Myocardial infarction;
Heart transplantation;
Fulminant myocarditis
- From:
Chinese Journal of Practical Nursing
2021;37(31):2473-2477
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the nursing points of emergency heart transplantation in an elderly patient with fulminant myocarditis and acute myocardial infarction.Methods:Hemorrhage early warning care, cyclic goal-oriented care, rejection and staged care, infection prevention and control care, difficult ventilator weaning care, and individualized rehabilitation care were provided to elderly patient with fulminant myocarditis and acute myocardial infarction after emergency heart transplantation in July 2020 in the First Hospital Affiliated to Zhejiang University and the effects were observed.Results:The patient's heart function recovered well after the transplantation, and no rejection reaction occurred. Before discharge, the patient was clear, active and optimistic, eating on his own, walking 300 meters in 6 minutes, and the vital signs were stable. One month after discharge, the patient was followed up to take care of himself and was in a stable mood.Conclusions:Carrying out bleeding prevention, circulatory care, rejection care, infection prevention and control care, ventilator difficulty weaning care and individualized rehabilitation care for elderly patients with fulminant myocarditis and acute myocardial infarction after emergency heart transplantation are effective means to ensure the success of the operation and the recovery of patients after the operation.
