5例普通外科手术后急性重症肺栓塞的临床分析和护理

Analysis on the clinical features and nursing care of 5 patients with postoperative acute serious pulmonary embolism

为减少和预防术后急性重症肺栓塞的发生,对5例术后发生急性重症肺栓塞的病例进行了分析。其中4例在术后5d内,1例在术后第16日即将出院时发生。5例患者只有2例抢救成功,其余3例死亡。提示在外科护理工作中,除要严密观察病情外,护士应该熟悉急性重症肺栓塞发生的各种危险因素及临床表现,对患者进行正确的健康指导,早期识别急性重症肺栓塞的症状,及早进行对症处理,以提高急性肺栓塞的抢救成功率。

In order to reduce and prevent postoperative acute serious pulmonary embolism（ASPE）, the clinical features and nursing care of 5 ASPE cases were analyzed retrospectively. Among which, ASPE occurred within 5 days after the operation in 4 cases and after 16 days just before discharge in one case. Two patients were rescued successfully, while the other 3 patients died. For the postoperative patients, in addition to close observation, the nurses should know well about the risk factors and symptoms of ASPE, provide proper preventive measures and instruction for the patients, identify the symptoms earlier and take prompt rescue measures in case of ASPE to increase the successful rescue rate.