[1]郑静,胡欢欢,李冬梅.胸腔镜肺叶切除术后并发急性大血管闭塞性缺血性脑卒中患者的观察与护理[J].军事护理,2021,38(10):77-79.[doi:10.3969/j.issn.1008-9993.2021.10.020]
 ZHENG Jing,HU Huanhuan,LI Dongmei.Observation and Nursing Care of Patients with Acute Large Vessel Occlusive Ischemic Stroke after Thoracoscopic Lobectomy[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):77-79.[doi:10.3969/j.issn.1008-9993.2021.10.020]
点击复制

胸腔镜肺叶切除术后并发急性大血管闭塞性缺血性脑卒中患者的观察与护理
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年10期
页码:
77-79
栏目:
病例报告
出版日期:
2021-10-15

文章信息/Info

Title:
Observation and Nursing Care of Patients with Acute Large Vessel Occlusive Ischemic Stroke after Thoracoscopic Lobectomy
文章编号:
1008-9993(2021)10-0077-03
作者:
郑静胡欢欢李冬梅
(海军军医大学第一附属医院 脑血管病中心,上海 200433)
Author(s):
ZHENG JingHU HuanhuanLI Dongmei
(Neurovascular Center,First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)
关键词:
脑卒中 胸腔镜 肺叶切除 大血管闭塞
Keywords:
stroke thoracoscope lobectomy occlusion of great vessels
分类号:
R473.6
DOI:
10.3969/j.issn.1008-9993.2021.10.020
文献标志码:
A
摘要:
报告了胸腔镜肺叶切除术后并发急性大血管闭塞性缺血性脑卒中患者9例的救治、护理过程,并对胸腔镜肺叶切除术后并发急性脑卒中的急救评估、转运及护理要点进行了总结,包括:VATS术后并发急性脑卒中的精准评估与快速转运、介入手术治疗后脑出血及缺血并发症的早期观察与护理、给予患者和家属及时的心理支持、充分的转出院准备。9例患者经上述治疗及护理均获得良好的预后。
Abstract:
Nine cases of patients with acute large vessel occlusive ischemic stroke after thoracoscopic lobectomy who had obtained good recovery after rapid stroke treatment and postoperative care were reported.The emergency assessment,transportation and nursing points of stroke were summarized,including theaccurate assessment and rapid transfer of acute stroke after VATS operation,early observation and care of cerebral hemorrhage and ischemic complications after interventional surgery,timely psychological support to patients and their families,and adequate preparation for transfer and discharge.

参考文献/References:

[1] 毛亚威.完全胸腔镜在肺癌根治术中的临床应用[J].中国继续医学教育,2021,13(1):123-126.
[2] 张磊.完全胸腔镜手术治疗早期肺癌的临床效果[J].中国当代医药,2020,27(30):103-105,109.
[3] RIDDERSHOLM S,TAYAL B,KRAGHOLM K,et al.Incidence of stroke after pneumonectomy and lobectomy[J]. Stroke,2019,50(5):1052-1059.
[4] 严晓霞,潘晴,丁君蓉,等.胸腔镜下肺切除术后并发急性缺血性脑卒中患者的护理[J].护士进修杂志,2018,33(6):536-538.
[5] 文婉玲,张从昕,黄清海,等.质量监督与持续改进对急性缺血性卒中患者早期救治效率的影响[J].中国脑血管病杂志,2017,14(4):169-174.
[6] 国家卫生健康委脑卒中防治工程委员会,上海市医疗急救中心,海军军医大学附属长海医院脑血管病中心.脑卒中院前急救诊疗指导规范[J].中华医学杂志,2018,98(39):3138-3147.
[7] 田兰娣.围术期并发症—脑卒中的护理[J].护理研究:下旬版,2014,28(4):1498-1500.
[8] 刘佳.脑卒中后抑郁诊治新进展[J].实用临床医药杂志,2017,24(21):227-230.
(本文编辑:郁晓路)

相似文献/References:

[1]胡欢欢,郑静,李冬梅,等.卒中健康管理门诊的建立与实践效果研究[J].军事护理,2021,38(02):48.[doi:10.3969/j.issn.1008-9993.2021.02.013]
 HU Huanhuan,ZHENG Jing,LI Dongmei,et al.Establishment and Effect of Stroke Health Management Clinic[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):48.[doi:10.3969/j.issn.1008-9993.2021.02.013]
[2]朱金扬,李颖,汪凤兰.脑卒中患者心理痛苦对创伤后成长的影响:反刍性沉思的中介作用[J].军事护理,2021,38(03):18.[doi:10.3969/j.issn.1008-9993.2021.03.005]
 ZHU Jinyang,LI Ying,WANG Fenglan.Effect of Psychological Distress on Posttraumatic Growth among Stroke Patients: The Mediating Role of Rumination[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):18.[doi:10.3969/j.issn.1008-9993.2021.03.005]
[3]叶明明,张薇,邓锐,等.首发脑卒中患者照护者的家庭抗逆力水平及其影响因素[J].军事护理,2021,38(05):1.[doi:10.3969/j.issn.1008-9993.2021.05.001]
 YE Mingming,ZHANG Wei,DENG Rui,et al.Family Resilience in the Caregivers of First-stroke Patient and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):1.[doi:10.3969/j.issn.1008-9993.2021.05.001]
[4]周美玲,张荀芳,何炼英,等.卒中后患者神经源性膀胱管理的最佳证据总结[J].军事护理,2021,38(05):67.[doi:10.3969/j.issn.1008-9993.2021.05.018]
 ZHOU Meiling,ZHANG Xunfang,HE Lianying,et al.Management of Neurogenic Bladder in Patients after Stroke: A Summary of the Evidence[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):67.[doi:10.3969/j.issn.1008-9993.2021.05.018]
[5]赵力慧,孙秋雪,郭玉成,等.脑卒中患者领悟社会支持与抑郁间的中介效应及心理弹性的调节效应[J].军事护理,2021,38(09):6.[doi:10.3969/j.issn.1008-9993.2021.09.002]
 ZHAO Lihui,SUN Qiuxue,GUO Yucheng,et al.Mediating Effect between Perceived Social Support and Depression among Stroke Patients and the Moderating Effect of Resilience[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):6.[doi:10.3969/j.issn.1008-9993.2021.09.002]
[6]于晓丽,李晓凤,王金宁,等.多视角下老年脑卒中患者居家健康管理影响因素的质性研究[J].军事护理,2021,38(10):12.[doi:10.3969/j.issn.1008-9993.2021.10.004]
 YU Xiaoli,LI Xiaofeng,WANG Jinning,et al.Influencing Factors of Home Health Management of Elders with Stroke from Multiple Perspectives:A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):12.[doi:10.3969/j.issn.1008-9993.2021.10.004]
[7]刘志薇,张振香,梅永霞,等.脑卒中患者抑郁症状的潜在剖面分析及影响因素研究[J].军事护理,2021,38(12):5.[doi:10.3969/j.issn.1008-9993.2021.12.002]
 LIU Zhiwei,ZHANG Zhenxiang,MEI Yongxia,et al.Latent Profile Analysis of Depressive Symptoms Among Patients with Stroke and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):5.[doi:10.3969/j.issn.1008-9993.2021.12.002]
[8]安晓,李娜,黄梅英,等.脑卒中患者跌倒预防的最佳证据总结[J].军事护理,2022,39(02):51.[doi:10.3969/j.issn.1008-9993.2022.02.013]
 AN Xiao,LI Na,HUANG Meiying,et al.Prevention of Falls in Stroke Patients:Best Evidence Summary[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):51.[doi:10.3969/j.issn.1008-9993.2022.02.013]
[9]刘雨婷,李育平,黄羽佳,等.我国脑卒中预测研究的热点和前沿的可视化分析[J].军事护理,2022,39(03):48.[doi:10.3969/j.issn.1008-9993.2022.03.012]
 LIU Yuting,LI Yuping,HUANG Yujia,et al.Visual Analysis: Research Hotspots and Frontiers of Stroke Prediction in China[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):48.[doi:10.3969/j.issn.1008-9993.2022.03.012]
[10]陈文颖,唐淑慧,李凡凡,等.脑卒中健康管理最佳证据总结[J].军事护理,2022,39(05):43.[doi:10.3969/j.issn.1008-9993.2022.05.011]
 CHEN Wenying,TANG Shuhui,LI Fanfan,et al.Evidence Summary for Health Management of Ischemic Stroke[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):43.[doi:10.3969/j.issn.1008-9993.2022.05.011]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-02-24 【 修回日期 】 2021-08-27
【 作者简介 】 郑静,本科,护师,从事脑卒中健康管理工作
【 通信作者 】 胡欢欢,电话:021-31161784
更新日期/Last Update: 2021-10-15