【摘要】 目的 总结一站式PCI+TAVR治疗主动脉瓣中重度狭窄合并冠心病老年患者并发循环崩溃的护理经验。方法 术前实施精细化准备：包括感染防控措施、多学科病情评估，术中针对性护理，根据循环崩溃风险时段实施个体化管理、目标导向性容量控制，术后建立多学科协作机制：制定包含心功能监测、并发症预防等内容的综合护理方案。结果 患者术后经34天治疗康复出院，术后1个月及4个月随访显示心功能恢复良好。结论 通过术前风险评估、术中动态容量管理及术后多学科协作的全程护理模式，可为高危TAVR手术患者提供安全保障。更多还原

【Abstract】 Objective To summarize the nursing experience in managing circulatory collapse complicating one-stop PCI+TAVR treatment for an elderly patient with moderate-to-severe aortic stenosis and coronary heart disease. Methods Preoperative meticulous preparation included infection control measures and multidisciplinary condition assessment. Intraoperative targeted nursing care was implemented with individualized management and goal-directed volume control based on circulatory collapse risk phases. Postoperatively, a multidisciplinary collaboration mechanism was established to develop a comprehensive nursing plan incorporating cardiac function monitoring and complication prevention. Results The patient recovered and was discharged after 34 days of treatment. Follow-ups at 1 month and 4 months postoperatively showed favorable cardiac function recovery. Conclusion The integrated nursing model featuring preoperative risk assessment, intraoperative dynamic volume management, and postoperative multidisciplinary collaboration can provide safety assurance for high-risk TAVR patients.更多还原