Nursing care for a patient with right frontoparietal inflammatory granuloma complicated with acute pulmonary embolism: a case report

Intracranial inflammatory granuloma is a common intracranial occupying lesion. Common postoperative complications include intracranial edema, intracranial infection, hydrocephalus, epilepsy, and cerebrospinal fluid leakage. This report aims to summarize the nursing care of a patient with right frontoparietal inflammatory granuloma complicated with acute pulmonary embolism (APE). Acute pulmonary embolism is a clinical syndrome in which endogenous or exogenous emboli block the main trunk or branches of the pulmonary artery, resulting in disorders of pulmonary and respiratory circulation that seriously threatening the lives of patients. The occurrence and report of pulmonary embolism caused by intracranial inflammatory granuloma are rare. The patient had rapid onset, atypical clinical manifestations, and was in critical condition. Pulmonary embolism can easily lead to death. Nursing care after rapid thrombolysis included observation of coagulation function, prevention of complication, control of infection, improvement of intestinal dysfunction, maintenance and monitoring of sedation, prevention and observation of epilepsy, and prevention of the recurrence of embolism. After early intervention, active treatment and meticulous care, the patient's condition improved, mechanical ventilation was successfully withdrawn, and the patient was ultimately discharged and walked out on his own.