淋巴瘤合并噬血细胞综合征伴自发性脾破裂患者的护理  

Nursing care of a patient twith lymphomacomplicateddwith hemophagocyticc syndrome and spontaneous splenic rupture

作　　者：汪欣[1] 帅琴燕[2] 吴燕凤[1] 孙彩虹[3] WANG Xin;SHUAI Qinyan;WU Yanfeng;SUN Caihong

机构地区：[1]浙江大学医学院附属第一医院血液科,杭州市310003 [2]浙江大学医学院附属第一医院重症监护室,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

出　　处：《中华急危重症护理杂志》2024年第10期934-936,共3页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例以发热为首发症状的儿童系统性EB病毒阳性T细胞淋巴瘤合并噬血细胞综合征伴自发性脾破裂患者的护理体会。针对患者合并噬血细胞综合征、突发自发性脾破裂等急危重症问题,采取以下护理措施:①早期识别并处理自发性脾破裂;②加强围手术期管理,预防腹腔大出血;③术后胰瘘的风险管理;④静脉血栓的评估及预防;⑤奥沙利铂特殊用药护理和心理支持。患者脾切除术后第33天出院,出院1个月后顺利进行异基因造血干细胞移植,随访至今恢复良好。To summarize the nursing experience of a patient with children systemic EB virus positive T-cell lymphoma complicated with hemophagocytic syndrome and spontaneous splenic rupture,whose initial symptom was fever.To address the urgent and critical issues of the patient with hemophagocytic syndrome and sudden spontaneous splenic rupture,we implemented the nursing measures,including early identification and management of spontaneous splenic rupture,strengthening perioperative management to prevent massive abdominal bleeding,risk management of postoperative pancreatic fistula,evaluation and prevention of venous thrombosis,special medication care of oxaliplatin and psychological support.The patient was discharged smoothly on the 33rd day after splenectomy and underwent allogeneic hematopoietic stem cell transplantation a month after discharge,with good recovery during follow-up to date.

关 键 词：淋巴瘤 噬血细胞综合征 自发性 脾破裂 危重病护理 

分 类 号：R473.73[医药卫生—护理学]