国际医药卫生导报2025，Vol.31Issue(7)：1212-1216,5.DOI:10.3760/cma.j.cn441417-20240926-07032
感染性心内膜炎相关肠系膜上动脉瘤4例患者的护理
Perioperative care for 4 patients with infectious endocarditis associated superior mesenteric artery aneurysm
摘要
Abstract
Objective To explore the perioperative nursing experiences for superior mesenteric artery aneurysm(SMAA)associated with infective endocarditis(IE).Methods Four patients diagnosed with SMAA associated with IE were admitted to Guangdong Provincial People's Hospital from March 2022 to June 2024.There were 2 males and 2 females,aged 27-53(37.25±11.27)years,with a body mass index of 14.18-18.14(16.75±1.76)kg/m2,preoperative cardiac function classification of the New York Heart Association(NYHA):1 case of grade Ⅱ,1 case of gradeⅢ,and 2 cases of grade Ⅳ.The key aspects and measures of perioperative nursing were analyzed,including pre-procedural observation prior to SMAA endovascular treatment,post-embolization nursing care for the mesentery,parenteral nutrition support,anti-infective medication nursing,maintenance of cardiac function,pain nursing,and monitoring for bleeding complications after cardiac surgery.Paired t test was used for statistical analysis.Results All four patients successfully completed both cardiac surgery and mesenteric embolization procedures.The duration of mechanical ventilation was 6-19(13.25±6.29)h,the ICU stay was 1-4(2.50±1.30)d,and the total hospital stay was 9-31(16.75±9.81)d.Complications included one case each of perioperative SMAA rupture with local hematoma formation,distal occlusion of the superior mesenteric artery,mural thrombosis,arrhythmia,and postoperative hemorrhage.All four patients were discharged after comprehensive nursing care;notably,their albumin and hemoglobin levels improved compared to admission values[(37.30±5.96)g/L vs.(28.80±3.90)g/L,(104.50±10.08)g/L vs.(86.50±14.93)g/L](both P＞0.05).The nursing satisfaction score ranged from 96 to 99(97.75±1.26)points,all of which were satisfactory.No recurrence of IE or SMAA was observed during 3-12 months of follow-up.Conclusion The proactive implementation of preventive measures alongside individualized nursing strategies during the perioperative period can significantly reduce complication rate while promoting early recovery in patients and enhancing overall patient satisfaction on nursing care.关键词
感染性心内膜炎/肠系膜上动脉瘤/围手术期护理Key words
Infective endocarditis/Superior mesenteric artery aneurysm/Perioperative nursing care引用本文复制引用
秦文凤,王玮,马丹莹,卿洪琨,李莉..感染性心内膜炎相关肠系膜上动脉瘤4例患者的护理[J].国际医药卫生导报,2025,31(7):1212-1216,5.基金项目
广东省医学科学研究基金(B2023017) （B2023017）
广州市科技计划(2024A04J4090) Medical Research Foundation of Guangdong Province(B2023017) （2024A04J4090）
Guangzhou Science and Technology Plan(2024A04J4090) （2024A04J4090）
