1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理

doi:10.3761/j.issn.0254-1769.2024.08.005

科研成果详情

题名	1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理
其他题名	Perioperative nursing of a patient with massive renal cell carcinoma and Mayo stageⅢ tumor thrombus undergoing robot-assisted nephrectomy
作者	毛云涛 1; 陈丽莉2; 陈笑笑 1; 王莺 1
发表日期	2024
发表期刊	中华护理杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	机器人手术肾细胞癌下腔静脉癌栓围手术期护理
其他关键词	Robotic Surgery ; Renal Cell Carcinoma ; Inferior Vena Cava Tumor Thrombus ; Perioperative Nursing
摘要	总结1例机器人辅助下切除巨大肾细胞癌伴MayoⅢ级癌栓患者术中大出血合并CO_(2)气体栓塞的围手术期护理经验,护理要点如下。术前参与多学科讨论,制订阶梯式术中应急预案;建立一体化护理工作站,优化病情监测。术中加强机器人辅助手术的护理配合;密切监测患者病情,预防术中危重并发症;启动应急预案,积极处理大出血合并CO_(2)气体栓塞;实施结构化体位管理,预防术中坠床风险。术后预防继发性血栓形成及活动性出血;加强肝肾缺血-再灌注损伤的监测与护理。经过多学科救治及精心护理,患者于术后13 d顺利出院。
其他摘要	This research provides an overview of the perioperative nursing care for a patient with a massive renal cell carcinoma and Mayo Stage Ⅲ tumor thrombus who underwent a robot-assisted nephrectomy complicated by sig-nificant intraoperative bleeding and CO2 embolism.Key nursing considerations included multidisciplinary preoperative discussions,developing stepwise intraoperative emergency plans,establishing an integrated nursing workstation,and the optimization of patient monitoring.During the surgery,nursing efforts were focused on supporting the robot-as-sisted procedure,closely monitoring the patient's condition,preventing intraoperative complications,initiating emergency plans as needed,actively managing major bleeding and CO2 embolism,and implementing structured positioning to minimize the risk of falls during the procedure.Postoperatively,the focus was on preventing secondary thrombus formation,managing active bleeding,and monitoring for liver and kidney ischemia-reperfusion injury.Through multi-disciplinary interventions and meticulous nursing care,the patient was discharged after a 13-day postoperative recovery.
ISSN	0254-1769
卷号	59 期号:8 页码:930-933
DOI	10.3761/j.issn.0254-1769.2024.08.005
页数	4
收录类别	维普 ; CNKI ; 万方 ; 北大核心 ; ISTIC ; CSCD
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/213198
专题	附属第一医院附属第一医院_护理部
作者单位	1.浙江大学医学院附属第一医院手术室,杭州市310003; 2.温州医科大学附属第一医院护理部
推荐引用方式 GB/T 7714	毛云涛,陈丽莉,陈笑笑,等. 1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理[J]. 中华护理杂志,2024,59(8):930-933.
APA	毛云涛, 陈丽莉, 陈笑笑, & 王莺. (2024). 1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理. 中华护理杂志, 59(8), 930-933.
MLA	毛云涛,et al."1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理".中华护理杂志 59.8(2024):930-933.