中华护理杂志 ›› 2021, Vol. 56 ›› Issue (11): 1703-1706.DOI: 10.3761/j.issn.0254-1769.2021.11.017

• 临床实践 • 上一篇    下一篇

1例重症夏皮罗综合征合并胰腺炎患者的护理

王宇娇(), 高岚(), 王永红, 王鹏举, 刘广平   

  1. 130021 长春市 吉林大学第一医院神经内科(王宇娇,高岚,王永红,刘广平),护理部(王鹏举)
  • 收稿日期:2020-11-24 出版日期:2021-11-15 发布日期:2021-11-16
  • 通讯作者: 高岚,E-mail: 1329695978@qq.com
  • 作者简介:王宇娇:女,硕士,主管护师,E-mail: wangyujiao1989@jlu.edu.cn
  • 基金资助:
    吉林大学医院管理研究项目(201918)

Nursing care of a patient with severe Shapiro syndrome complicated with pancreatitis

WANG Yujiao(), GAO Lan(), WANG Yonghong, WANG Pengju, LIU Guangping   

  • Received:2020-11-24 Online:2021-11-15 Published:2021-11-16

摘要:

总结1例罕见重症夏皮罗综合征合并胰腺炎患者的护理经验。护理要点包括:纠正水电解质紊乱,维持内环境稳定;监测鼓膜温度,为诊疗、护理提供可靠依据;采取复合保温措施,预防低体温;行超早期肠内营养序贯治疗;护士与家属合作,促进患者记忆恢复与重建;加强健康宣教,提高患者生存质量。经28 d诊疗与护理后,患者好转出院。

关键词: 夏皮罗综合征, 胰腺炎, 低体温, 护理

Abstract:

To summarize the nursing experience of a rare case of severe Shapiro syndrome complicated with pancreatitis. The key points of nursing care are as following. Rehydration and sodium supplement can correct pre- renal hypovolemia and hyponatremia,and maintain stable internal environment. The tympanic membrane temperature is monitored as the core temperature reference,which provides a reliable basis for diagnosis,treatment and nursing. Bundle heat preservation measures are taken to prevent complications of hypothermia. Super early enteral nutrition sequential therapy and family participation nursing care can promote memory recovery and reconstruction. The health education is strengthened to improve the quality of life of patients. After careful treatment and nursing care by medical staff,the patient recovered and was discharged.

Key words: Shapiro Syndrome, Pancreatitis, Hypothermia, Nursing Care