Integrated traditional Chinese and western medicine nursing of a patient with coronary heart disease complicated by pulmonary infection

This study aimed to explore the application effect of integrated traditional Chinese and western medicine nursing in a complex emergency case of coronary heart disease (CHD) with multiple underlying diseases and pulmonary infection. For a patient whose early myocardial infarction markers turned from negative to positive and whose family’s treatment decision shifted from refusal to agreement, interventions were implemented in stages under the Western medicine framework of "risk stratification–dynamic monitoring–precise rescue, " integrated with Traditional Chinese Medicine (TCM) approaches such as "syndrome differentiation nursing–emotional regulation nursing–characteristic techniques. " These interventions included rapid triage, identification of critical transitions, medication adjustment, family communication, and comprehensive management of underlying conditions. The results indicated that during emergency care, the patient's high fever, chest pain, and infection were preliminarily controlled. Dynamic nursing monitoring promptly captured evidence of myocardial infarction, assisted in the shift of family decision-making, and created conditions for subsequent interventional surgery. This model can effectively address the challenges of significant disease fluctuation and difficult decision-making in complex emergency cases, integrating the advantages of both Chinese and Western medicine to enhance the precision and safety of care, thus providing a reference for similar nursing practices. (本文总结1例具有“双重转折”特征(即早期心肌损伤标志物由阴性转为阳性、家属治疗意愿由拒绝有创治疗转为同意手术)的复杂病例中西医整合护理干预经验。在西医“风险分层、动态监测、精准施救”框架下, 融入中医“辨证施护、情志调护、特色技术”, 分阶段实施快速分诊、病情转折识别、用药调整、家属沟通及基础疾病综合管理等干预。急诊期间患者高热、胸痛及感染得到初步控制, 动态监测及时捕捉心肌梗死证据, 协助家属决策转变, 为后续手术创造条件。该中西医整合护理模式可针对性应对急诊复杂病例病情波动大、决策困难等问题, 整合中西医优势提升救治精准性与安全性, 为同类护理实践提供参考。)