1例席汉综合征伴感染合并糖尿病酮症酸中毒患者的护理  

Nursing care of a case of Sheehan syndrome with infection and combined with diabetic ketoacidosis

作　　者：曾莉容[1] 张星 陈浩莹 ZENG Lirong;ZHANG Xing;CHEN Haoying

机构地区：[1]中山大学附属第五医院内分泌与代谢病科,珠海市519000

出　　处：《中华护理杂志》2024年第7期854-858,共5页Chinese Journal of Nursing

摘　　要：总结1例席汉综合征伴感染合并糖尿病酮症酸中毒患者的护理经验。护理要点:早期积极补液,实施目标导向性血糖管理,纠正内环境紊乱;严密观察病情变化,分阶段落实激素替代治疗,预防垂体危象;采取集束化护理措施,预防感染加重;定期随访和疾病宣教,提高患者疾病自我管理能力。经过积极治疗和精心护理,患者未出现严重并发症,病情平稳,情绪良好,顺利出院。The nursing care of a case of Sheehan syndrome with infection and combined with diabetic ketoacidosis was summarized.To improve prognosis of the disease and guarantee patient’s safety,key points of nursing care are as following:sufficient early liquid resuscitation and target-oriented management of blood glucose to correct internal environment disorder;dynamic monitoring of condition,implementing hormone replacement therapy by stages to prevent pituitary crises;to measure the mental state and implement cluster intervention measures to prevent infection worsening;regular follow-up and disease education to improve patients’disease self-management ability.After positive treatment and careful nursing care,no serious complications occurred,blood glucose was controlled well,and the case was in stable conditions and was discharged.

关 键 词：席汉综合征 糖尿病酮症酸中毒 感染 护理 

分 类 号：R473[医药卫生—护理学]