Nursing managing of severe thrombocytopenia induced by Tirofiban in a patient after undergoing percutaneous coronary intervention

This paper presents a summary of the treatment course and nursing management of a patient who developed severe thrombocytopenia following the administration of Tirofiban after undergoing percutaneous coronary intervention (PCI). Key nursing interventions included dynamic monitoring of platelet count, early identification of bleeding risks and clinical changes, optimization of antithrombotic therapy, simultaneous psychological support and health education, phased rehabilitation activities, and dietary adjustments. After 8 days of active treatment and attentive nursing care, the patient fully recovered and was discharged. Subsequent follow-up has shown no signs of bleeding or cardiovascular adverse events. (本文总结1例经皮冠脉介入治疗(PCI)术后患者使用替罗非班致极重度血小板减少的治疗及护理经验。护理要点包括: 动态监测血小板计数, 预警出血风险及病情变化, 优化抗栓方案, 同步强化心理疏导及健康教育, 分阶段进行康复活动并调整饮食习惯。经过 8 d 的积极治疗与精心护理, 患者康复出院, 随访未发生出血及心血管不良事件。)