Nursing care of one pulmonary embolism patient after total knee arthroplasty easily misdiagnosed coronary heart disease
10.3760/cma.j.issn.1672-7088.2018.10.011
- VernacularTitle:一例全膝关节置换术后极易误诊为冠心病的肺栓塞患者护理
- Author:
Yifeng GUO
1
;
Yufen MA
;
Na GAO
;
Yaping CHEN
;
Xiaojie WANG
;
Yuan XU
Author Information
1. 中国医学科学院北京协和医院骨科
- Keywords:
Arthroplasty,replacements,knee;
Nursing care;
Pulmonary embolism;
Coronary heart disease
- From:
Chinese Journal of Practical Nursing
2018;34(10):768-772
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the reason and nursing experience of one pulmonary embolism patient after total knee arthroplasty easily misdiagnosed coronary heart disease. Methods For the patient to implement risk assessment of venous thromboembolism and develop prevention plan in preoperation, then carry out anticoagulation prevention and physical prophylaxis after operation. Nurse observe the patient changes of clinical symptom and signs,focus on the complain of patient and the changes of laboratory examination results, implement the diagnosis process of pulmonary thromboembolism. Pulmonary thromboembolism patient was definitely diagnosed and got standardized treatment. Results Through the treatment and nursing, the patient finely discharged from hospital. Conclusions To develop the system of VTE risk assessment and implement prevention measures.Nurses need to distinguish the high risk pulmonary thromboembolism patient according to the clinical observation, it is better for the pulmonary thromboembolism patient to be early diagnosed and treated, meanwhile, to implement the effective nursing measures will contribute to the prognosis of pulmonary thromboembolism patient.
