PCI术后3个月支气管扩张大咯血动脉栓塞止血的护理

Nursing Care of Hemostasis by Arterial Embolization in Bronchiectasis with Massive Hemoptysis in 3 Months After PCI

目的探讨PCI术后3个月发生支气管扩张大咯血,采用支气管动脉栓塞止血的护理。方法术前护理的关键是对患者进行正确评估,做好大咯血的处理、急救准备及术前准备,术后护理的重点是病情观察及饮食护理,暂停抗凝,应用抗血小板策略;咯血停止后恢复双抗治疗。结果本病例救治成功,术后无不良事件发生,患者住院15 d,痊愈出院。结论支气管动脉栓塞止血的护理方案安全、有效。

Objective?to observe the nursing care of massive hemoptysis with bronchiectasis 3 months after PCI. Methods The key to preoperative nursing was to evaluate the patients correctly, to do a good job in the management of massive hemoptysis, first aid preparation and preoperative preparation. The emphasis of postoperative nursing was on condition observation and diet nursing, suspension of anticoagulation, application of antiplatelet strategy, and recovery of double antibody treatment after hemoptysis stopped. Results The case was treated successfully and no adverse events occurred after stenting. The patient was hospitalized for 15 days and discharged from hospital after recovery. Conclusion The nursing scheme of bronchial artery embolism is safe and effective.