1例中央轴空病伴恶性高热易感患者的围麻醉期护理管理  

Perioperative anesthetic nursing for a central core disease patient with malignant hyperthemia susceptibility

作　　者：王洁茹 黄朝旭 画妍 WANG Jieru;HUANG Zhaoxu;HUA Yan(Department of Anesthesiology,Xijing Hospital,Air Force Medical University,Xi'an 710032,Shaanxi,China;Department of Nursing,Air Force Medical University,Xi'an 710032,Shaanxi,China)

机构地区：[1]空军军医大学第一附属医院麻醉科,陕西西安710032 [2]空军军医大学护理系,陕西西安710032

出　　处：《护士进修杂志》2024年第11期1218-1223,共6页Journal of Nurses Training

摘　　要：总结1例中央轴空病(central core disease, CCD)伴恶性高热易感(malignant hyperthermia susceptibility, MHS)患者行脊柱侧弯矫形术的围麻醉期护理管理经验。护理管理要点:通过术前多学科讨论,麻醉护士与麻醉医生一起制定防治围术期恶性高热(malignant hyperthermia, MH)的预案,学习MH的临床表现及处理原则,建立详细的物品准备清单及人员分工,完善术前准备。通过麻醉护士在麻醉前、中、后与麻醉医生、外科医生及手术室护士协同合作,本例患者手术顺利,术中、术后未发生MH,术后随访半年,患者情况稳定,无严重术后并发症发生。Care management experience ofthe perioperative anesthetic in a patient with central core disease(CCD)combined malignant hyperthermia(MHS)undergoing scoliosis orthopedic surgery was summarized.The points of nursing management wereas followed:Through multi-disciplinary discussions before surgery,the anesthetic nurses worked with the anesthesiologists to formulate a plan to prevent and treat malignant hyperthermia(MH)during the perioperative period,learned the clinical manifestations and treatment principles of malignant hyperthermia,established a detailed list of item preparation and personnel division of labor,and improved preoperative preparations.The anesthetic nurses collaborated with the anesthesiologists,surgeons,and operating room nurses before,during,and after anesthesia ensured that the patient's surgery was smooth,without MH during and after surgery.The patient was followed up for half a year after surgery,and the condition was stable without serious postoperative complications.

关 键 词：恶性高热易感 恶性高热 中央轴空病 脊柱侧弯矫形术 围麻醉期 麻醉护士 护理 

分 类 号：R473[医药卫生—护理学]