特发性脊柱侧弯矫治术后并发恶性高热患者的护理  

Nursing care of a patient with malignant hyperthermia after correction of idiopathic scoliosis

作　　者：任二帅 曾妃[1] 梁江淑渊 REN Ershuai;ZENG Fei;LIANG Jiangshuyuan

机构地区：[1]浙江大学医学院附属第二医院综合ICU,杭州市310051

出　　处：《中华急危重症护理杂志》2024年第2期153-155,共3页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例特发性脊柱侧弯患者术后并发恶性高热的护理体会。针对早期如何识别及处理恶性高热、如何管理体温及呼气末二氧化碳分压、如何正确使用丹曲林钠以及避免横纹肌溶解进展等问题。采取及早控制体温,持续监测核心体温及呼气末二氧化碳分压,合理使用丹曲林钠、监测肌酸激酶、碱化尿液等措施。经过11 d的治疗与护理,成功撤离呼吸机,转回病房治疗,并在术后第20天出院,出院随访3个月,患者状况良好。To summarize the nursing experience of one case of idiopathic scoliosis complicated with malignant hyperthermia after operation.It aimed at the problems of how to recognize and treat malignant hyperthermia,how to manage body temperature and end-expiratory carbon dioxide partial pressure,how to use dantrolene sodium correctly and avoid the development of rhabdomyolysis.We controlled body temperature as early as possible,continuously monitored core body temperature and end-expiratory carbon dioxide pressure,used dantrolene sodium rationally,monitored creatine kinase and implemented alkalization of urine and other measures.After 11 days of treatment and nursing,the patients were successfully removed from the ventilator and transferred back to the ward for treatment.He was discharged successfully 20 days after the operation.He was followed up for 3 months after discharge and his condition was good.

关 键 词：脊柱弯曲 恶性高热 肌束震 横纹肌溶解 危重病护理 

分 类 号：R473.6[医药卫生—护理学]