肺结核合并肺栓塞一例护理分析

Analysis of nursing care:a case of pulmonary tuberculosis complicated with pulmonary embolism

回顾性分析2022年1月5日同济大学附属上海市肺科医院结核科一病区收治的1例83岁男性肺结核合并肺栓塞患者的临床资料。患者患有浸润性肺结核、肺栓塞、肺部重症感染、心房颤动、下肢深静脉血栓形成并告病危,遂成立专业护理小组,借助各种护理记录单、评估单及监控单,对患者病情实施严密监测,对风险事件进行上报和监控,并执行标准化沟通模式进行危重患者交接班。完善相关检查,明确诊断,予以心电监护、吸氧,加强安全防护措施落实,避免坠床及导管意外等安全事件的发生。严格执行药物治疗管理,制订每日药物输入计划,确保药物能按时、按量、安全、及时输入。给予积极抗感染、抗结核、抗凝、利尿、营养支持等治疗,给予精心护理并进行总结分析。经过23 d的住院治疗和精心护理,患者症状好转,病情平稳,予以出院。

A 83-year-old,male,pulmonary tuberculosis patient complicated with pulmonary embolism treated in the First Department of Tuberculosis,Shanghai Pulmonary Hospital Affiliated to Tongji University on January 5,2022 was retrospectively analyzed.A professional nursing team was set up for this patient who were seriously ill with infiltrative pulmonary tuberculosis,pulmonary embolism,severe pulmonary infection,atrial fibrillation and deep vein thrombosis of lower extremity.With the help of various nursing records,assessment and monitoring sheets,the patient’s condition was closely monitored,risk events were reported and monitored,and standardized communication modes were implemented.The relevant examinations were improved,and the patients also gain definite diagnosis,ECG monitoring and oxygen inhalation,furthermore,the implementation of safety protection measures was also strengthened,to avoid the occurrence of safety incidents such as falling bed and catheter accidents.Strict drug treatment was managed,and daily drug input plan was formulated,to ensure the drug input accurate,safe and timely.Active anti-infection,anti-tuberculosis,anti-coagulation,diuresis were given to reduce cardiac load,nutritional support and other treatment,as well as careful care were given,and the treatment was summarized.After 23 d hospitalization and careful nursing,the patient’s symptoms improved and the condition was stable,therefore,he was discharged.