
浏览全部资源
扫码关注微信
北京朝阳中西医结合急诊抢救医院 心血管内科病房, 北京, 100020
收稿日期:2025-04-16,
修回日期:2025-07-25,
录用日期:2025-07-28,
网络出版日期:2025-09-18,
移动端阅览
张虹. 1例急性心包炎合并心包积液行穿刺引流的护理体会[DB/OL].中西医结合临床案例库, 2025.
ZHANG Hong. Nursing Experience of One Case of Acute Pericarditis with Pericardial Effusion Undergoing Puncture Drainage[DB/OL].Clinical archives of integrative medicine, 2025.
张虹. 1例急性心包炎合并心包积液行穿刺引流的护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202504160001.
ZHANG Hong. Nursing Experience of One Case of Acute Pericarditis with Pericardial Effusion Undergoing Puncture Drainage[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202504160001.
本文总结1例急性心包炎合并大量心包积液患者行心包穿刺引流的围术期的护理体会。护理要点包括早期识别产生大量心包积液后患者出现的BECK三联征,即低血压、心音低弱和颈静脉怒张,配合医生完成心包穿刺,动态评估病情,监测引流液性质,积极预防并发症发生,加强患者心理与疼痛护理。
This article summarizes the perioperative nursing experience of a patient with acute pericarditis and massive pericardial effusion undergoing pericardial puncture drainage. Key nursing points include early recognition of Beck’s triad (hypotension, diminished heart sounds, and jugular vein distension) secondary to massive effusion, assisting physicians in performing pericardial puncture, dynamic condition assessment, monitoring drainage fluid characteristics, proactive prevention of complications, and enhanced psychological and pain management.
赵建美 , 袁杨 , 邵岩 , 等 . Graves病并发急性心包炎伴ATDs相关性肌病1例报告 [J]. 国际内分泌代谢杂志 , 2023 , 43 ( 5 ): 430 - 433 .
ZHAO J M , YUAN Y , SHAO Y , et al . A case report of acute pericarditis induced by Graves’ disease with ATDs-associated myopathy [J]. Int J Endocrinol Metab , 2023 , 43 ( 5 ): 430 - 433 . (in Chinese)
尤黎明 , 吴瑛 . 内科护理学 [M]. 6版 . 北京 : 人民卫生出版社 , 2017 .
张波 , 桂莉 . 急危重症护理学 [M]. 4版 . 北京 : 人民卫生出版社 , 2017 : 218 .
PEREZ S A , AMASTHA J , VINCENT L , et al . Severe right ventricular failure following pericardiocentesis: a case report of pericardial decompression syndrome [J]. JACC Case Rep , 2021 , 3 ( 1 ): 58 - 63 .
ADI O , FONG C P , AHMAD A H , et al . Pericardial decompression syndrome: a complication of pericardiocentesis [J]. Am J Emerg Med , 2021 , 45 : 688.e3 - 688.e7 .
弓涯娜 . 中心静脉导管用于心包积液引流的护理体会 [J]. 中国药物与临床 , 2020 , 20 ( 8 ): 1399 - 1401 .
GONG Y N . Nursing experience of central venous catheter in pericardial effusion drainage [J]. Chin Remedies Clin , 2020 , 20 ( 8 ): 1399 - 1401 . (in Chinese)
裴心阳 , 师启众 , 尹良涛 , 等 . 保留主动脉根部及升主动脉后壁的新术式在急性Stanford A型主动脉夹层中的应用及早期临床效果分析 [J]. 心肺血管病杂志 , 2023 , 42 ( 2 ): 149 - 153, 174 .
PEI X Y , SHI Q Z , YIN L T , et al . Application and early clinical effect analysis of A new surgical procedure that preserves the aortic root and posterior wall of the ascending aorta in acute Stanford Type A aortic dissection [J]. J Cardiovasc Pulm Dis , 2023 , 42 ( 2 ): 149 - 153, 174 . (in Chinese)
童丽娜 , 周媛 , 叶蕾 , 等 . 1例前列腺癌骨转移患者癌性疼痛的中医外治护理 [J]. 中华养生保健 , 2024 ( 20 ): 168 - 171 .
TONG L N , ZHOU Y , YE L , et al . Case report of traditional Chinese medicine external treatment nursing for cancer pain in a patient with prostate cancer bone metastasis [J]. Chin Health Care , 2024 ( 20 ): 168 - 171 . (in Chinese)
胡卓尔 , 盖力锟 , 沈浩冉 , 等 . 传统身心调节技术促进大脑健康的科学基础与实践应用 [J]. 科技导报 , 2022 , 40 ( 10 ): 110 - 118 .
HU Z E , GAI L K , SHEN H R , et al . Scientific basis and practical applications of mind-body exercise based on Chinese traditional culture to promote brain health [J]. Sci Technol Rev , 2022 , 40 ( 10 ): 110 - 118 . (in Chinese)
贾颖田 , 林可可 , 郭少波 , 等 . 慢性病患者中医传统功法康复训练促进与阻碍因素的Meta整合 [J]. 护理学杂志 , 2024 , 39 ( 22 ): 16 - 21 .
JIA Y T , LIN K K , GUO S B , et al . Meta-synthesis of facilitators and barriers of traditional Chinese medicine exercise rehabilitation training in patients with non-communicable chronic diseases [J]. J Nurs Sci , 2024 , 39 ( 22 ): 16 - 21 . (in Chinese)
张伯礼 , 吴勉华 , (澳)林子强 . 中医内科学 [M]. 北京 : 中国中医药出版社 , 2019 .
季秀丽 . 痰饮概念析疑及饮邪致病临床意义与研究思路 [J]. 北京中医药大学学报 , 2022 , 45 ( 5 ): 513 - 518 .
JI X L . Analysis of the concept of “Yin” and “phlegm”, and the clinical significance and research ideas on pathogenic factors of Yin [J]. J Beijing Univ Tradit Chin Med , 2022 , 45 ( 5 ): 513 - 518 . (in Chinese)
徐奚如 , 郑开明 . 论“病痰饮者,当以温药和之” 及其临床运用 [J]. 长春中医药大学学报 , 2023 , 39 ( 1 ): 32 - 35 .
XU X R , ZHENG K M . On the principle of “treating patients with a phlegm-fluid retention syndrome with warm medicines” and its clinical application [J]. J Changchun Univ Chin Med , 2023 , 39 ( 1 ): 32 - 35 . (in Chinese)
余鹏 , 曾文飞 , 林凯玲 , 等 . 大量心包积液病因影响因素的回顾性分析 [J]. 中国心血管病研究 , 2020 , 18 ( 12 ): 1082 - 1087 .
YU P , ZENG W F , LIN K L , et al . Retrospective analysis of the etiological factors with large pericardial effusion [J]. Chin J Cardiovasc Res , 2020 , 18 ( 12 ): 1082 - 1087 . (in Chinese)
王贵芸 . 心电图ST段抬高与PR段下移对急性心包炎的评估价值 [J]. 医疗装备 , 2022 , 35 ( 18 ): 28 - 30 .
WANG G Y . Evaluation value of ST segment elevation and PR segment depression in acute pericarditis [J]. Med Equip , 2022 , 35 ( 18 ): 28 - 30 . (in Chinese)
王骏 . 2015欧洲心脏病学会心包疾病诊断和治疗指南解读 [J]. 世界临床药物 , 2016 , 37 ( 5 ): 293 - 299 .
WANG J . Interpretation of 2015 European Society of Cardiology guidelines for the diagnosis and management of pericardial diseases [J]. World Clin Drugs , 2016 , 37 ( 5 ): 293 - 299 . (in Chinese)
赵文婷 , 刘玉平 . 化痰祛瘀方联合双抗血小板方案治疗痰瘀互结型胸痹心痛病的临床观察 [J]. 成都医学院学报 , 2024 , 19 ( 6 ): 1044 - 1047 .
ZHAO W T , LIU Y P . Clinical observation of Huatan Quyu decoction combined with dual antiplatelet regimen in the treatment of phlegm-stasis intermingled thoracic obstruction and heartache [J]. J Chengdu Med Coll , 2024 , 19 ( 6 ): 1044 - 1047 . (in Chinese)
周荣易 , 马丙祥 . 整体观念指导下的中西医康复发展趋势探讨 [J]. 中华中医药杂志 , 2023 , 38 ( 11 ): 5138 - 5144 .
ZHOU R Y , MA B X . Discussion on the development trend of Chinese and Western medicine rehabilitation under the guidance of holistic concept [J]. China J Tradit Chin Med Pharm , 2023 , 38 ( 11 ): 5138 - 5144 . (in Chinese)
国家体育总局健身气功管理中心 . 健身气功·六字诀 [M]. 北京 : 人民体育出版社 , 2003 .
袁天慧 , 朱迪 , 陈思阳 , 等 . 浅析心力衰竭的中医学康复运动疗法优势特色与潜在机制 [J]. 中国中西医结合杂志 , 2023 , 43 ( 12 ): 1502 - 1509 .
YUAN T H , ZHU D , CHEN S Y , et al . Analysis of features and mechanisms of Chinese medicine rehabilitation exercise therapy for heart failure [J]. Chin J Integr Tradit West Med , 2023 , 43 ( 12 ): 1502 - 1509 . (in Chinese)
姜佳慧 , 毕鸿雁 . 健身气功易筋经对轻中度帕金森病病人疲劳及生活质量的影响 [J]. 护理研究 , 2023 , 37 ( 24 ): 4452 - 4457 .
JIANG J H , BI H Y . Influence of fitness Qigong Yijinjing on fatigue and quality of life in patients with Parkinson’s disease [J ]. Chin Nurs Res , 2023 , 37 ( 24 ): 4452 - 4457 . (in Chinese)
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621