焦虑合并躯体形式障碍患者突发急性肺栓塞的急救护理

Emergency nursing for acute pulmonary embolism in patient with anxiety complicated with somatoform disorder

总结1例焦虑合并躯体形式障碍患者突发急性肺栓塞致心搏骤停抢救成功的护理经验。护理要点:病房抢救时立即心肺复苏,启动快速反应团队;多学科团队配合安全转运;在ICU内快速明确诊断并确定治疗方案;严密监测溶栓过程及出血的观察和护理;做好情绪护理,预防血栓再发。经严密监护,患者8 d后病情稳定转回病房,16 d后康复出院。

To summarize the nursing experience of a patient with anxiety combined with somatoform disorder who had sudden acute pulmonary embolism and cardiac arrest.Nursing points:immediately cardiopulmonary resuscitation(CPR)and the start of the rapid response team;multi-disciplinary team cooperation for safe transport;rapid diagnosis and treatment in the ICU;closely monitor of thrombolysis process,and bleeding observation and nursing;emotional nursing to prevent thrombosis recurrence.After close monitoring,the patient was transferred to the ward with stable condition 8 days later,and recovered and discharged 16 days later.