新型布尼亚病毒感染伴血小板减少综合征患者的急救护理  

Emergency nursing of a patient with thrombocytopenia syndrome caused by novel bunya virus infection

作　　者：张国文 王飒[2] 林文风 孙立琴 程宝珍 武作家 陈芳[2] ZHANG Guowen;WANG Sa;LIN Wenfeng;SUN Liqin;CHENG Baozhen;WU Zuojia;CHEN Fang

机构地区：[1]中国科学技术大学附属第一医院/安徽省立医院急诊医学科抢救室,合肥市241000 [2]浙江大学医学院附属第二医院急诊科

出　　处：《中华急危重症护理杂志》2023年第2期143-146,共4页Chinese Journal of Emergency and Critical Care Nursing

基　　金：2021年安徽省高等学校省级质量工程项目(2021jyxm1791)。

摘　　要：总结1例新型布尼亚病毒感染致发热伴血小板减少综合征患者的急救护理体会。护理要点:针对患者致病原因不明,护士详细追溯病史;确诊可疑病原体,迅速完善病毒学检查;紧急输注血小板、出血并发症的预防和监测;切断一切可能传播途径,采取综合措施预防交叉感染。经过21 h急诊多学科的紧急救治和精准护理,患者顺利转入重症监护室继续治疗,后期转院康复。This case study summarized the emergency nursing experience of a patient with fever combined with thrombocytopenia syndrome caused by novel bunyavirus infection. The nurses traced the history in detail for the unknown cause of the disease,and rapidly improved virological examination to diagnose suspected pathogens.Emergency platelets transfusion,prevention and monitoring of bleeding complications,stop of all possible transmission routes and comprehensive measures to prevent cross infection were taken. After 21 hours of multidisciplinary emergency treatment and precise nursing,the patient was successfully transferred to ICU for further treatment and later transferred to the other hospital for rehabilitation.

关 键 词：严重发热伴血小板减少综合征 急症护理 血小板输注 感染控制 交叉感染 

分 类 号：R473.5[医药卫生—护理学]