肌萎缩侧索硬化症患者并发食管真菌感染的护理

doi:10.3761/j.issn.0254-1769.2021.06.008

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (6): 852-854.DOI: 10.3761/j.issn.0254-1769.2021.06.008

• 神经系统疾病护理专题 • 上一篇下一篇

肌萎缩侧索硬化症患者并发食管真菌感染的护理

王敏秀(),黄温馨,林少宜

350001 福州市福建医科大学附属协和医院神经重症监护病房

收稿日期:2020-08-24 出版日期:2021-06-15 发布日期:2021-06-11
作者简介:王敏秀：女,本科（硕士在读）,主管护师,副护士长,E-mail：43177991@qq.com

Nursing care of a patient with amyotrophic lateral sclerosis complicated with esophageal fungal infection

WANG Minxiu(),HUANG Wenxin,LIN Shaoyi

Received:2020-08-24 Online:2021-06-15 Published:2021-06-11

摘要/Abstract

摘要：

总结1例肌萎缩侧索硬化症患者并发食管真菌感染的护理经验。护理重点是鼻饲管道的管理,包括做好管道识别、食管冲洗护理、预防堵管和反流误吸;加强抗真菌药物的护理,控制感染;防误吸护理;心理护理。经过62 d的精心治疗和护理,成功治愈了真菌性食管炎并经皮置入胃造瘘管,保证了患者的长期营养供应。

关键词: 肌萎缩侧索硬化症, 真菌性食管炎, 鼻饲双管, 食管冲洗, 护理

Abstract:

To summarize the nursing experience of a case of amyotrophic lateral sclerosis complicated with esophageal fungal infection. The key point of nursing is the management of dual nasal feeding tubes,including the dual tubes identification,esophageal flushing nursing,prevention of tube blockage,prevention of reflux aspiration. In addition,the anti-fungal drug care,infection control,respiratory management,psychological care are also strengthened. After 62 days of careful treatment and nursing and 4 gastroscopy evaluations,the patient was successfully cured of fungal esophagitis,and percutaneous endoscopic gastrostomy tube was inserted,ensuring the long-term nutrition supply for the patient.

Key words: Amyotrophic Lateral Sclerosis, Fungal Esophagitis, Dual Nasal Feeding Tubes, Esophageal Flushing, Nursing Care

王敏秀,黄温馨,林少宜. 肌萎缩侧索硬化症患者并发食管真菌感染的护理[J]. 中华护理杂志, 2021, 56(6): 852-854.

WANG Minxiu,HUANG Wenxin,LIN Shaoyi. Nursing care of a patient with amyotrophic lateral sclerosis complicated with esophageal fungal infection[J]. Chinese Journal of Nursing, 2021, 56(6): 852-854.

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肌萎缩侧索硬化症患者并发食管真菌感染的护理

Nursing care of a patient with amyotrophic lateral sclerosis complicated with esophageal fungal infection

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