1例神经白塞氏病并发癫痫与重症肺炎患者的护理  

Nursing of Neuro-Behcet’s disease complicated with epilepsy and severe pneumonia:a case report

作　　者：陈少珍[1] 杨蕊 唐青妮 Chen Shaozhen;Yang Rui;Tang Qingni(Department of Pulmonary and Critical Care Medicine,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China)

机构地区：[1]中山大学附属第一医院呼吸与危重症医学科,广东广州510080

出　　处：《现代临床护理》2025年第1期85-90,共6页Modern Clinical Nursing

基　　金：广州市临床特色技术项目,项目编号为2023P-TS48。

摘　　要：总结1例神经白塞氏病并发癫痫与重症肺炎患者的护理经验。护理要点:神经系统损害护理(包括物理降温控制发热,药物镇静、镇痛缓解头痛,脱水、抗炎治疗降低颅内压,合理用药控制癫痫发作);重症肺炎护理(包括抗菌、抗真菌治疗控制感染,呼吸机辅助通气纠正呼吸衰竭,早期肢体及肺康复护理预防撤机困难);加强皮肤黏膜症状护理;应用肠内营养纠正营养不良。治疗5d后患者各项指标逐渐恢复,18d病情好转,继续维持白塞氏病治疗方案。This paper reports the experience of nursing care for a patient with Neuro-Behcet’s disease and complicated with an epilepsy and severe pneumonia.The nursing care measures are summarised below:care for nervous system damage,which included physical cooling to mitigate the fever,medication for sedation and analgesia to relieve headache,dehydration and anti-inflammatory treatment to reduce intracranial pressure and rational use of medication to control seizures;nursing of severe pneumonia,which included a combined antibacterial and antifungal treatment to control infections,ventilator-assisted ventilation to rectify respiratory failure,and early rehabilitation care for limbs and lung to prevent difficulties in weaning from the ventilator;intensified care for symptoms of skin and mucosae;and the administration of enteral nutrition to correct malnutrition.After 5 days of the nursing care measures and treatment,all clinical indicators of the patient had recovered and the overall condition of the patient was improved after 18 days.The treatment plan for Behcet’s disease continued.

关 键 词：神经白塞氏病 癫痫 重症肺炎 个案护理 

分 类 号：R473.74[医药卫生—护理学]