1例Ⅳ度骨髓抑制患者并发脓毒症性休克的护理  

Nursing care of a patient with grade Ⅳ myelosuppression complicated with septic shock

作　　者：周晓瑜[1] 潘政雯 方珍珍 应玲玲 丁旦怡 章建丽[1] 许丽炜[1] 丁淑怡 叶小娇 金爱云[3] ZHOU Xiaoyu;PAN Zhengwen;FANG Zhenzhen;YING Lingling;DING Danyi;ZHANG Jianli;XU Liwei;DING Shuyi;YE Xiaojiao;JIN Aiyun

机构地区：[1]浙江大学医学院附属第一医院骨髓移植中心,杭州市310003 [2]浙江大学医学院附属第一医院伤口、造口专科护士门诊部,杭州市310003 [3]浙江大学医学院附属第一医院护理部,杭州市310003 [4]贵州医科大学附属医院血液科

出　　处：《中华护理杂志》2023年第13期1635-1639,共5页Chinese Journal of Nursing

基　　金：浙江省卫生健康科技计划项目(2021KY668);浙江大学医学院附属第一医院护理学科建设科研专项基金(2022ZYHL047)。

摘　　要：总结1例Ⅳ度骨髓抑制患者并发脓毒症性休克的护理经验。护理要点:脓毒症性休克的急救护理;紧急切开未成熟脓肿,超声引导下加强脓腔冲洗,预防并发症的发生;改良全环境保护隔离;根据血糖变化规律动态调整血糖管理策略。经过系统的救治和精细化的护理,患者9 d后病情稳定,转至普通病房继续接受治疗。To summarize the nursing experience of a patient with gradeⅣmyelosuppression complicated with septic shock.The key points of nursing included the prompting of cooperation with the first aid of septic shock,the close monitoring of infection indicators,the timely assisting for doctors to perform perianal abscess incision beside the bed,the accurate judge and thorough flushing of the abscess cavity under ultrasound guidance,the maintenance of effective drainage,giving patients improved total environmental protection quarantine measures,and the dynamical adjustment of blood glucose management strategies according to the changes of blood glucose.After systematic treatment and meticulous nursing,the patient was in stable condition after 9 days and transferred to the general ward for further treatment.

关 键 词：骨髓抑制 休克 脓毒性 急救 护理 

分 类 号：R473[医药卫生—护理学]