Nursing care of a patient with dilated cardiomyopathy accompanied by recurrent superior mesenteric artery embolism and massive gastrointestinal hemorrhage
10.3761/j.issn.0254-1769.2025.16.015
- VernacularTitle:1例扩张型心肌病继发二次肠系膜上动脉栓塞伴消化道大出血患者的护理
- Author:
Jianfen CHEN
1
;
Huidi ZHU
;
Yuehong JIANG
;
Dong KIMBERLY
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院护理部
- Publication Type:Journal Article
- Keywords:
Dilated Cardiomyopathy;
Left Ventricular Thrombus;
Mesenteric Artery Embolization;
Critical Care
- From:
Chinese Journal of Nursing
2025;60(16):2021-2025
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient with dilated cardiomyopathy experiencing recurrent superior mesenteric artery embolism and gastrointestinal hemorrhage post-enterectomy.Nursing key points:the development of a hemorrhage-embolism dual-risk assessment program and prevention and control interventions;the implementation of rapid-response emergency care for hemorrhagic shock combined with septic shock;active anti-infective care;the implementation of sudden cardiac death and ventricular arrhythmia early warning care;the establishment of a collaborative community follow-up management mechanism.The patient was discharged successfully after 44 d of hospitalization.During the 12-week follow-up,LVEF was 41%,and the patient could take care of himself in daily life.