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| Nursing care of 15 patients with acute limb ischemia after cardiac surgery |
| ZHANG Yuanbo ZHAI Haixin DENG Haibo |
| Department of Cardial Surgery, Peking Union Medical College Hospital, Beijing 100730, China |
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Abstract Objective To summarize the nursing experience of 15 patients with acute limb ischemia after cardiac surgery. Methods The nursing materials of 15 patients with acute limb ischemia from May 2011 to February 2018 in the Department of Cardiac Surgery of Peking Union Medical College Hospital were reviewed, by observing subjective and objective indicators, the experience and effect of nursing measures in limb perfusion, anticoagulant therapy, rehabilitation and discharge guidance were summarized, and the nursing emphases different from other departments were put forward. Results There were 15 cases of early postoperative ecchymosis, bruising, and cyanosis in 10 cases without progressive exacerbation, postoperative progressive exacerbation. There were 5 cases of ulcer/gangrene, including 3 cases of upper limb involvement, 2 cases of left/right foot and lower limb involvement. After careful management by the medical staffs, 10 of the 15 patients recovered well by the time they were discharged, by the time of discharge, there were still 5 cases of purpura and ulcer/gangrene, 2 of which required discharge. Conclusion By summarizing the nursing experience of 15 patients with acute limb ischemia, it can provide reference for clinical nursing and promote the recovery of patients.
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