Nursing care of a patient with spinal shock following combined mechanical circulatory support after heart valve surgery
10.3761/j.issn.0254-1769.2025.19.016
- VernacularTitle:1例心脏瓣膜病术后行机械循环辅助患者继发脊髓休克的护理
- Author:
Jian TAO
1
;
Liming LEI
1
;
Yamin SONG
1
Author Information
1. 510080 广州市 南方医科大学附属广东省人民医院(广东省医学科学院)广东省心血管病研究所心外科重症监护室
- Publication Type:Journal Article
- Keywords:
Heart Valve Diseases;
Heart Valve Replacement;
Mechanical Circulatory Support;
Spinal Shock;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(19):2408-2412
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing care of a patient with spinal shock following combined mechanical circulatory support after heart valve surgery.The mainly nursing points are as follows.In the acute stage,hemodynamic and internal environment stability were maintained,and extracorporeal cardiopulmonary resuscitation was implemented by a multidisciplinary rapid response team.In the period of mechanical circulatory support,related complications were closely monitored,and a protocolized weaning strategy was implemented.During the spinal shock period,the focus was on maintaining spinal cord,lung and bowel function.During the recovery period,phased enhancement of early rehabilitation and intervention in negative psychological emotions were conducted.The patient successfully removed the mechanical circulatory device on the 9th day postoperatively,achieved grade 4 muscle strength in the left upper and grade 3 in other limbs after 32 days of hospitalization,ultimately discharged successfully from the hospital.
