Nursing and literature analysis of a patient with multisystem organ failure undergoing emergency carotid endarterectomy after intravenous thrombolysis

doi:10.3760/cma.j.issn.1007-1245.2024.15.031

Abstract

Abstract:

This study provides an in-depth analysis of the integrated care for a patient undergoing urgent carotid endarterectomy after intravenous thrombolytic therapy and complicated by multisystem failure. Through the detailed preoperative assessment and the implementation of specialized nursing measures, such as cardiac complication management, respiratory support technology, prevention of pulmonary infection, regulation of blood pressure and cerebral perfusion pressure, wound and bleeding control, sedation and analgesic strategies, nutritional support and follow-up management, etc., the importance and effectiveness of comprehensive specialty nursing in the treatment of high-risk CEA patients were highlighted, and the latest progress and research trends of current CEA nursing were discussed in combination with relevant literature analysis. Through a comprehensive analysis of the relevant literatures, this paper not only summarizes the nursing experience of this case, but also deeply discusses the key issues and future research directions in nursing practice, so as to improve the understanding of the care strategies of such high-risk patients and provide references for clinical nursing practice.

Key words:

Carotid endarterectomy, Intravenous thrombolysis, Multisystem organ failure, Nursing, Literature analysis

摘要：

该研究分析了接受静脉溶栓治疗后紧急行颈动脉内膜剥脱术（CEA）且并发多系统功能衰竭患者的综合护理实践。通过术前详尽的病情评估与专科护理措施的实施（如心脏并发症管理、呼吸支持技术、预防肺部感染、血压与脑灌注压的调控、伤口与出血控制、镇静与镇痛策略、营养支持以及随访管理等），突显了综合专科护理在处理高风险CEA患者中的重要性，并通过结合相关文献分析，总结护理经验，探讨护理实践中的关键问题和未来的研究方向，旨在提升对此类高风险患者护理策略的理解，为临床护理实践提供参考。

关键词:

颈动脉内膜剥脱术, 静脉溶栓, 多系统功能衰竭, 护理, 文献分析

Zhang Chun, Chen Min, Zhao Jun, Li Qian, Zhao Chang, Fang Yan, Chen Jing, Wang Zhizhong.

Nursing and literature analysis of a patient with multisystem organ failure undergoing emergency carotid endarterectomy after intravenous thrombolysis [J]. International Medicine and Health Guidance News, 2024, 30(15): 2617-2621.

张纯陈敏赵俊李倩赵畅方艳陈静汪志忠.

静脉溶栓后急诊颈动脉内膜剥脱伴多系统功能衰竭患者的护理并文献分析 [J]. 国际医药卫生导报, 2024, 30(15): 2617-2621.

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