Nursing Care of a Patient with Intracranial Aneurysm Rupture and Hemorrhage Complicated by Pulmonary Embolism After Surgery
Abstract
Objective: To summarize the nursing experience of a patient with intracranial aneurysm rupture and hemorrhage who developed pulmonary embolism after clipping surgery. Methods: A patient in our hospital, who had intracranial aneurysm rupture and hemorrhage and developed pulmonary embolism after clipping surgery, was selected as the research subject. Through multidisciplinary collaboration, standardized assessment and dynamic condition observation, various risks were identified early. Combined with the patient’s individual characteristics, a personalized nursing plan was formulated. During the treatment process, emphasis was placed on strengthening the patient’s airway management, closely monitoring various indicators, and preventing postoperative complications. Targeted nursing measures were adopted: reasonable airway humidification and effective lung care were used to gradually control the patient’s pulmonary infection; fluid balance management and individualized care were implemented to ensure the patient’s normal circulating blood volume, thereby optimizing cerebral perfusion and cerebral oxygenation. Since the patient had overlapping risk factors for bleeding and thromboembolic events, evidence-based nursing principles were followed for thromboembolism prevention, and anticoagulation strategies and nursing plans were dynamically adjusted to reduce the occurrence of postoperative complications. Results: The patient’s condition improved and was successfully discharged on the 22nd day after surgery, and then transferred to a local rehabilitation hospital for further treatment. At the 1-month follow-up after discharge, the patient recovered well; at the 3-month follow-up after discharge, the patient had recovered and returned home. Conclusion: The results show that standardized assessment and condition observation, multidisciplinary collaboration, and personalized nursing plans can significantly reduce the occurrence of postoperative complications and improve the patient’s prognosis. This nursing experience provides a reference for the nursing of similar patients in the future.
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