Abstract:

To summarize the nursing experience of a patient with schizophrenia complicated by severe neurodeptic malignant syndrome. Nursing points include：to emphasize monitoring of antipsychotic medications to detect the onset of neurodeptic malignant syndrome as early as possible；to leverage the multidisciplinary team for rapid initiation of acute phase management interventions；to combine multimodal cooling to help rewarm the patient；to implement the stepwise intervention program to promote recovery of bowel function；to emphasize family supportive therapy to restore social functioning；to continue case management by developing a multidisciplinary follow-up plan. After careful management and care by the multidisciplinary team，the patient was successfully discharged from the hospital after a total stay of 47 days. After 3 months of follow-up，the patient’s daily life was basically back to normal.

Key words: Schizophrenia, Antipsychotic Drugs, Neurdeptics Malignant Syndrome, Wooden Stiffness, Intestinal Obstruction, Nursing Care

摘要：

总结1例精神分裂症并发重度恶性综合征患者的护理经验。护理要点：重视抗精神病药物用药监测，尽早识别恶性综合征的发生；发挥跨学科团队优势，快速启动急性期管理措施；联合多模式降温措施，促进患者体温恢复；落实阶梯式干预方案，促进肠道功能恢复；重视家庭支持性治疗，促进社会功能恢复；制订多学科随访计划，做好延续性护理。经过多学科团队的救治和精细化护理，患者顺利出院，共住院47 d。随访3个月，患者日常生活基本恢复正常。

关键词: 精神分裂症, 抗精神病药, 恶性综合征, 木僵, 肠梗阻, 护理