巨大胃肠间质瘤并发非胰岛细胞肿瘤性低血糖患者一例的护理  

Nursing Experience of a Patient with Giant Gastrointestinal Stromal Tumor Complicated with Non-islet Cell Tumor Hypoglycemia

作　　者：潘艳丽 胡佳佳 杨丽[1] PAN Yanli;HU Jiajia;YANG Li(Department of Medical Oncology,Qiantang District,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University,Hangzhou 310018,Zhejiang Province,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院钱塘院区肿瘤内科,浙江杭州310018

出　　处：《军事护理》2024年第10期106-108,112,共4页MILITARY NURSING

基　　金：浙江省医药卫生科技计划青年创新人才支持计划项目(2022RC181);邵逸夫医院护理科研基金课题(202113HL)。

摘　　要：总结1例巨大胃肠间质瘤患者并发非胰岛细胞肿瘤性低血糖患者的护理经验。该例患者因低血糖意识不清入院,经多学科协作,采用数字化血糖监测和管理,结合中西医治疗策略,有效控制了其低血糖症状和腹胀问题。护理措施主要包括:高频次血糖监测以及时发现低血糖反应,遵医嘱调整药物治疗方案以稳定血糖水平,并采用中西医结合方法缓解患者的腹胀并提高其舒适度。经过积极治疗与护理,该例患者低血糖发作显著减少,营养状况得到改善,病情稳定后转至当地医院继续治疗。该患者的救治过程中,多学科协作在处理罕见副肿瘤综合征中十分重要,可为临床护理提供参考。A case report of nursing experience of a patient with giant gastrointestinal stromal tumor(GIST)complicated with non-islet cell tumor hypoglycemia(NICTH).The patient was admitted due to unconsciousness caused by hypoglycemia.Through multidisciplinary collaboration,digital blood glucose monitoring and management were adopted,combined with traditional Chinese and Western medicine treatment strategies,the symptoms of hypoglycemia and abdominal distension were effectively controlled.Nursing measures mainly include:frequent blood glucose monitoring and timely detection of hypoglycemic reactions,adjustment of medication regimen to stabilize blood glucose levels as prescribed by doctors,and use of integrated Chinese and Western medicine to relieve abdominal distension and improve comfort.After active treatment and nursing,the hypoglycemic episode was significantly reduced,and the nutritional status was improved.The patients was transferred to a local hospital for continued treatment after his condition stabilized.The multidisciplinary collaboration attaches importance to the treatment of rare paraneoplastic syndromes and provides reference for clinical nursing.

关 键 词：低血糖 非胰岛细胞肿瘤低血糖 胃肠间质瘤 病例报告 

分 类 号：R473.73[医药卫生—护理学]