1例维持性血液透析胸椎结核合并高血压患者的围手术期护理

Perioperative nursing case of a patient with maintenance hemodialysis thoracic vertebra tuberculosis and hypertension

总结2023年4月我院收治的1例维持性血液透析(maintenance hemodialysis, MHD)患者胸椎结核在全身麻醉下进行胸椎结核病灶清除+植骨融合内固定术的围手术期护理经验。术前成立胸椎结核合并MHD疾病多学科团队,对患者整个围术期进行全方位诊疗护理,包括选择手术时机、术后病情观察、功能锻炼等护理。经过36 d的精心护理,患者病情稳定,转院继续康复治疗。通过多学科团队共同制定的治疗护理方案,使患者病情趋于稳定、促进了患者的康复,改善了临床结局。

Objective The perioperative nursing experience of a patient with maintenance hemodialysis(MHD)and tuberculosis of thoracic vertebra in thoracic vertebra tuberculosis lesion removal+internal fixation of bone graft fusion under general anesthesia was summarized in our hospital on April,2023.Before surgery,a multidisciplinary team combining tuberculosis of thoracic vertebra with MHD disease was established to carry out comprehensive diagnosis,treatment and nursing for patients during the whole perioperative period,including the nursing of operation time selection,postoperative condition observation,and functional exercise.After 36 days of careful nursing,the patient's condition was stable and he was transferred for further rehabilitation treatment.The multidisciplinary team formulated the treatment and nursing plan,which made the patient's condition became stable,promoted the patient's recovery,and improved the clinical outcome.