Nursing care of a patient with severe chronic thromboembolic pulmonary hypertension undergoing pulmonary endarterectomy combined with coronary artery bypass grafting
10.3760/cma.j.cn211501-20210622-01761
- VernacularTitle:重度慢性血栓栓塞性肺动脉高压行肺动脉内膜剥脱联合冠状动脉搭桥术后患者的护理1例
- Author:
Xiumei SUN
1
;
Jing BAO
;
Yu SUN
;
Ya JI
;
Yanling SHEN
Author Information
1. 中日友好医院外科重症医学科，北京 100029
- Keywords:
Pulmonary endarterectomy;
Coronary artery bypass grafting;
Nursing care
- From:
Chinese Journal of Practical Nursing
2022;38(29):2304-2309
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the nursing experience of a patient with refractory hypoxia, septic shock and delirium after pulmonary endarterectomy combined with coronary artery bypass grafting for severe chronic thromboembolic pulmonary hypertension.Methods:An elderly patient with severe chronic thromboembolic pulmonary hypertension admitted to China-Japan Friendship Hospital in December 2020 was given nursing measures in terms of hemodynamic management, anticoagulant management, nursing of intractable hypoxia and balloon pulmonary arterioplasty, infection prevention and control, lung rehabilitation, early functional exercise and transitional nursing etc.Results:After multiple consultations with multidisciplinary experts inside and outside the hospital, the patient′s diagnosis and treatment plan was refined. After individualized and comprehensive nursing, the patient recovered well after surgery and was transferred back to the common ward 57 days after surgery, and discharged successfully 73 days after surgery.Conclusions:The individual and comprehensive nursing measures for this patient have effectively improved the prognosis of the patient and improved the quality of life of the patient.
