一例高龄双侧股骨粗隆间骨折合并肺栓塞患者的围手术期护理

Perioperative Care of an Elderly Patient with Bilateral Intertrochanteric Fracture of the Femur with Pulmonary Embolism

摘要: 本文总结了1例双侧股骨粗隆间骨折合并肺栓塞高龄患者的围手术期护理经验。核心护理措施包括：针对血栓高危人群，入院后立即开展血栓风险评估与预防干预；患者突发肺栓塞时，依托多学科团队协作实施精准急救并落实全程随访；在溶栓治疗阶段，精准平衡抗凝效果与出血风险；持续追踪患者后期康复情况，提升治疗满意度。经过57天的精细化治疗与护理，患者病情稳定并顺利出院。

Abstract: This paper summarizes the perioperative nursing experience of an elderly patient with bilateral intertrochanteric fracture of the femur and pulmonary embolism. Core nursing measures include: for high-risk groups of thrombosis, thrombosis risk assessment and preventive intervention should be carried out immediately after admission; When the patient suddenly has a pulmonary embolism, rely on the multidisciplinary team to implement precise first aid and implement full follow-up; In the thrombolytic treatment stage, the anticoagulant effect and bleeding risk are accurately balanced; Continue to track the patient’s later recovery and improve treatment satisfaction. After 57 days of refined treatment and care, the patient was in stable condition and was discharged from the hospital smoothly.