1例肺叶切除术后患者靶向药物治疗期间行急诊冠状动脉旁路移植术的护理

Nursing care of a patient undergoing emergency coronary artery bypass grafting in the period of targeted drug therapy after lobectomy

总结1例肺癌肺叶切除术后患者靶向药物治疗期间行急诊冠状动脉旁路移植术的护理经验。患者在接受靶向药物治疗期间突发急性心肌梗死,入院时合并多重耐药菌感染和多种基础疾病,护理要点如下:心功能的评估和维护、容许性引流液偏多的观察和护理、肺功能的保护和康复、感染的预防和控制、肝肾功能的检查和保护、全程心理关注和支持。经过多学科团队合作,患者术后38 h拔除气管插管,术后第15天顺利出院。

The nursing experience of a patient undergoing emergency coronary artery bypass grafting in the period of targeted drug therapy after lobectomy.The patient,who was complicated with multiple drug-resistant bacterial infections and other lesions,had acute myocardial infarction during the targeted drug therapy.The main points of nursing include the assessment and care of cardiac function,proper measures of excessive drainage fluid,protection and rehabilitation of lung function,prevention and control of infection,protection of liver and kidney function,targeted psychological care and health education to help him build confidence in overcoming disease.After the comprehensive management of a multidisciplinary team,tracheal intubation was removed 38 hours after surgery,and the patient was discharged 15 days after emergency operation.