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Emergency rescue of a patient with hemorrhagic shock caused by superior mesenteric artery rupture:A case report

World Journal of Clinical Cases 2024年第18期12卷 3567-3574页

作者： Xian-Ping Lin Xin-Li Guo He-Feng Tian Zheng-Rong Wu Wei-Jie Yang Hong-Ying Pan Nursing Department Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310020Zhejiang ProvinceChina Department of General Surgery Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310020Zhejiang ProvinceChina Department of Obstetrics and Gynecology Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310020Zhejiang ProvinceChina

BACKGROUND Superior mesenteric artery(SMA)injuries rarely occur during blunt abdominal injuries,with an incidence of35 beats/min),and blood pressure as low as 20/10 mmHg(1 mmHg=0.133 kPa).Computed tomography revealed abdominal and pelvic hematocele effusion,suggesting active *** patient was suspected of partial rupture of the distal SMA *** patient underwent emergency mesenteric artery ligation,scalp suture,and liver laceration *** view of conditions with acute onset,rapid progression,and high bleeding volume,key points of nursing were conducted,including activating emergency protocol,opening of the green channel,and arranging relevant examinations with various medical staff for quick *** seamless collaboration of the multidisciplinary team helped shorten the preoperative preparation *** laparotomy exploration and mesenteric artery ligation were performed to mitigate hemorrhagic shock while establishing efficient venous accesses and closely monitoring the patient’s condition to ensure hemodynamic *** measures were taken to avoid intraoperative hypothermia and *** After 3.5 h of emergency rescue and medical care,bleeding was successfully controlled,and the patient’s condition was ***,the patient was transferred to the intensive care unit for continuous mon

关键词： Superior mesenteric artery Hemorrhagic shock arterial ligation Emergency nursing Case report

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