Nursing care of a patient with acute pericardial tamponade and hypocalcemia after PCI surgery

YANG Junqiu; JIAO Jie

doi:10.12209/CAIM202411270003

您当前的位置：

首页 >

文章列表页 >

Nursing care of a patient with acute pericardial tamponade and hypocalcemia after PCI surgery

更新时间：2025-01-06

- Nursing care of a patient with acute pericardial tamponade and hypocalcemia after PCI surgery
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  首都医科大学附属北京朝阳医院心脏中心，北京， 100020
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202411270003
  CLC：
- Published Online：06 January 2025，
  
  Received：27 November 2024，
- 稿件说明：
移动端阅览
YANG JUNQIU, JIAO JIE. Nursing care of a patient with acute pericardial tamponade and hypocalcemia after PCI surgery. [DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

YANG JUNQIU, JIAO JIE. Nursing care of a patient with acute pericardial tamponade and hypocalcemia after PCI surgery. [DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202411270003.

摘要

我院于2023年8月收治1例PCI术后急性心包填塞伴低钙血症患者，患者住院期间PCI术后发生急性心包填塞，合并低钙血症，予以心包穿刺及纠正电解质等对症治疗，并根据患者护理问题，严密观察病情，进行针对性护理，无并发症及不良事件发生，效果较好，患者顺利出院。本文对该病例进行回顾性分析，对护理措施进行归纳总结，为今后护理此类患者提供临床护理经验，以促进患者康复，改善患者预后。

Abstract

In August 2023， our hospital admitted a patient with acute pericardial tamponade and hypocalcemia after PCI surgery. During the patient's hospitalization， acute pericardial tamponade occurred after PCI surgery， accompanied by hypocalcemia. Symptomatic treatment was given， including pericardial puncture and electrolyte correction. According to the patient's nursing problems， the condition was closely observed and targeted nursing was carried out. There were no complications or adverse events， and the effect was good. The patient was discharged smoothly. This article conducts a retrospective analysis of the case， summarizes nursing measures， and provides clinical nursing experience for future care of such patients， in order to promote patient recovery and improve patient prognosis.

关键词

PCI急性心包填塞低钙血症护理

Keywords

PCIacute pericardial tamponadehypocalcemianursing

references

中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2022概要［J］. 中国循环杂志， 2023， 38（6）： 583-612.

The Writing Committee of the Report on Cardiovascular Health， CHINA D I. Report on cardiovascular health and diseases in China 2022： an updated summary［J］. Chin Circ J， 2023， 38（6）： 583-612. （in Chinese）

BHATT D L， LOPES R D， HARRINGTON R A. Diagnosis and treatment of acute coronary syndromes［J］. Jama， 2022， 327（7）： 662.

PRIVITERA F， GIOCO R， FAZIO I， et al. Risk factors for low levels of parathyroid hormone after surgery for thyroid cancer： a single center study［J］. J Clin Med， 2021， 10（18）： 4113.

WALKER HARRIS V， DE BEUR SJAN. Postoperative hypoparathyroidism： medical and surgical therapeutic options［J］. Thyroid， 2009， 19（9）： 967-973.

CAO L， SUN X Z， ZHANG T， et al. A reappraisal of risk factors for early hypocalcemia after parathyroidectomy in dialysis patients［J］. Updates Surg， 2022， 74（6）： 1961-1970.

HAKAMI Y， KHAN A. Hypoparathyroidism［J］. Front Horm Res， 2019， 51： 109-126.

PEPE J， COLANGELO L， BIAMONTE F， et al. Diagnosis and management of hypocalcemia［J］. Endocrine， 2020， 69（3）： 485-495.

JACOBI J. Management of endocrine emergencies in the ICU［J］. J Pharm Pract， 2019， 32（3）： 314-326.

BOLLERSLEV J， REJNMARK L， MARCOCCI C， et al. European society of endocrinology clinical guideline： treatment of chronic hypoparathyroidism in adults［J］. Eur J Endocrinol， 2015， 173（2）： G1-20.

徐英，何森，游桂英，等. 经桡动脉穿刺行冠状动脉介入治疗围手术期护理［J］. 华西医学， 2011， 26（11）： 1711-1712.

XU Y， HE S， YOU G Y， et al. Perioperative nursing care of patients undergoing percutaneous coronary intervention via radial artery puncture［J］. West China Med J， 2011， 26（11）： 1711-1712. （in Chinese）

陈瑶，邱原刚，朱建华，等. 经不同血管径路行冠状动脉介入治疗对患者心理状况的影响［J］. 中华心血管病杂志， 2006， 34（8）： 714-717.

CHEN Y， QIU Y G， ZHU J H， et al. Psychologic status comparison in patients treated with transradial or transfermoral approach coronary catheterizations［J］. Chin J Cardiol， 2006， 34（8）： 714-717. （in Chinese）

于艳艳，李庆印，高学琴，等. 《血管活性药物静脉输注护理》团体标准解读［J］. 中华护理杂志， 2024， 59（20）： 2444-2446.

YU Y Y， LI Q Y， GAO X Q， et al. Interpretation of group standards for nursing care of patients with infusion of vasoactive agents［J］. Chin J Nurs， 2024， 59（20）： 2444-2446. （in Chinese）

ARAIZA A， DURAN M， VARON J. Administration of vasopressors through peripheral venous catheters［J］. CMAJ， 2022， 194（21）： E739.

JOUFFROY R， VIVIEN B. Adverse events associated with administration of vasopressor medications through a peripheral intravenous catheter： do not confound access route and specific drug complications！［J］. Crit Care， 2021， 25（1）： 183.

相爽，王宾，苗华，等. 急性冠脉综合征住院患者跌倒风险评估及影响因素分析［J］. 中华护理杂志， 2023， 58（9）： 1082-1088.

XIANG S， WANG B， MIAO H， et al. Risk assessment and influencing factors of fall in hospitalized patients with acute coronary syndrome［J］. Chin J Nurs， 2023， 58（9）： 1082-1088. （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

A nursing report on a patient with breast nodule pain treated with meridian cupping combined with ear acupressure

The nursing experience of traditional Chinese medicine for the treatment of 1 patient with chronic renal aging and itchy skin

Nursing care of a patient with intestinal obstruction treated by retention enema of Chinese medicine combined with acupuncture and moxibustion

Nursing effect of traditional Chinese medicine smearing on radiation skin injury in a patient with breast cancer

Nursing experience of a patient with acute non lymphocytic leukemia and invasive aspergillosis pulmonary infection

Related Author

LIANG Yan

LI Xing

WU Mengqian

ZHANG Xu

LIU Hongli

WEN Xiaoyan

DING Xiuling

GUO Yalin

Related Institution

Department of acupuncture and moxibustion， Beijing Massage Hospital

Department of Nephrology， Beijing Jiangong Hospital

Department of Oncology， Beijing Integrated Traditional Chinese and Western Medicine Emergency Rescue Hospital

Department of Oncology， National Clinical Research Center for acupuncture and moxibustion and Moxibustion of Traditional Chinese Medicine， the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

Department of Hematology， National Clinical Research Center for acupuncture and moxibustion and Moxibustion of Traditional Chinese Medicine， the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

⁰