1例左室心肌致密化不全合并胰岛素自身免疫综合征患者的护理  

Nursing care of a patient with left ventricular myocardial insufficiency complicated with insulin autoimmune syndrome

作　　者：毛越[1] 李梅 杨丹燕 何杰 MAO Yue;LI Mei;YANG Danyan;HE Jie

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310000

出　　处：《中华护理杂志》2025年第4期464-468,共5页Chinese Journal of Nursing

摘　　要：总结1例左室心肌致密化不全合并胰岛素自身免疫综合征伴抑郁患者的护理经验。针对患者心律失常、反复发热和低血糖、栓塞和出血、抑郁问题,采取以下护理措施:持续心电监护,警惕恶性心律失常;严密监测体温,积极预防感染;持续血糖监测,及时纠正低血糖;聚焦患者特征,降低栓塞和抗凝出血风险;加强心理护理,稳定患者情绪;做好延续性护理。经过64 d的精心治疗与护理,患者出院择期行起搏器再植入术,3个月后随访,起搏器再植入术顺利实施,术后6个月回归社会工作。To summarise the nursing experience of a patient with left ventricular non-compaction combined with insulin autoimmune syndrome with depression.To address the patient’s arrhythmia,recurrent fever and hypogly-cemia,embolism and bleeding,and depression,the following nursing measures were taken:continuous cardiac monitoring and alert to malignant arrhythmia;strengthening temperature management to reduce the risk of infection exacerbation;continuous glucose monitoring to timely correction of hypoglycaemia;focusing on patient characteristics and reducing the risk of embolism and anticoagulation bleeding;strengthening psychological care and stabilizing patients’emotions;continuity of care.After 64 days of careful treatment and care,the patient was discharged for elective pacemaker reimplantation.At 3-month follow-up,the pacemaker reimplantation was successfully performed,and the patient returned to social work 6 months after the operation.

关 键 词：心律失常 原因不明发热 低血糖 护理 

分 类 号：R473.5[医药卫生—护理学]