Review of Perioperative Care in Elderly Patients With Esophageal Hiatal Hernia and Cardiopulmonary Disease.

IF 0.8 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Gastroenterology Nursing Pub Date : 2025-09-05 DOI:10.1097/SGA.0000000000000926

Haibin Zhang, Fangyan Lu, Di Meng

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Abstract

Abstract: This article aims to explore the clinical characteristics and corresponding nursing points of elderly patients with massive hiatal hernia. A case study of an elderly patient with massive hiatal hernia and severe cardiopulmonary disease was reviewed, along with relevant literature. Nursing points are the following: multidisciplinary team to estimate surgical risks and develop individualized pre-rehabilitation management strategies; assessment and intervention for thrombosis and bleeding risks; postoperative hemodynamic monitoring and precise fluid management; dynamic observation of inflammatory indicators and infection prevention and care; and follow-up visits and health guidance after discharge. Hiatal hernia is common clinically, but it is rare in elderly patients with severe cardiopulmonary disease. Thorough literature review, familiarity with the characteristics of this condition in elderly patients, and proper perioperative nursing management and guidance are crucial for the successful recovery of elderly patients with massive hiatal hernia.

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老年食管裂孔疝合并心肺疾病患者围手术期护理综述。

摘要：本文旨在探讨老年大裂孔疝患者的临床特点及相应的护理要点。本文回顾了一例老年大面积裂孔疝合并严重心肺疾病的病例研究，并附相关文献。护理要点：多学科团队评估手术风险，制定个性化康复前管理策略；血栓和出血风险的评估和干预；术后血流动力学监测和精确的液体管理；炎症指标动态观察及感染预防护理；出院后的随访和健康指导。裂孔疝在临床上较为常见，但在老年重症心肺疾病患者中较为少见。充分查阅文献，熟悉老年患者的特点，做好围手术期的护理管理和指导，是老年大裂孔疝患者成功康复的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastroenterology Nursing 医学-护理

CiteScore

1.10

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： Gastroenterology Nursing: The Official Leader in Science and Practice delivers the information nurses need to stay ahead in this specialty. The journal keeps gastroenterology nurses and associates informed of the latest developments in research, evidence-based practice techniques, equipment, diagnostics, and therapy. The only professional, peer-reviewed nursing journal covering this area, Gastroenterology Nursing is an invaluable resource for current SGNA guidelines, new GI procedures, pharmacology, career development, and certification review. Its lively editorial style and illustrations make the journal a pleasure to read and consult. Official Journal of the Society of Gastroenterology Nurses and Associates and Canadian Society of Gastroenterology Nurses and Associates