1例肾移植术后患者合并应激性心肌病的急救与护理

doi:10.3761/j.issn.0254-1769.2022.18.012

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (18): 2252-2255.DOI: 10.3761/j.issn.0254-1769.2022.18.012

1例肾移植术后患者合并应激性心肌病的急救与护理

林燕(), 俞超, 高春华, 张帅, 王奉涛, 褚君卿, 耿可

310003 杭州市浙江大学医学院附属第一医院综合监护室

收稿日期:2022-01-05 出版日期:2022-09-20 发布日期:2022-09-07
作者简介:林燕,女,本科,主管护师,E-mail： 286094004@qq.com
基金资助:
浙江省医药卫生计划项目(2020KY568);浙江大学医学院附属第一医院护理科研项目青年孵化基金(2022QF021)

First aid and nursing care of a patient with induced stress cardiomyopathy after kidney transplantation

LIN Yan(), YU Chao, GAO Chunhua, ZHANG Shuai, WANG Fengtao, CHU Junqing, GENG Ke

Received:2022-01-05 Online:2022-09-20 Published:2022-09-07

摘要/Abstract

摘要：

总结1例肾移植术后ICU患者合并应激性心肌病的急救与护理经验。护理要点：专注病情变化,落实高效急救措施;快速准确评估,安全平稳转运;加强血流动力学监测,目标导向性液体管理;精准给药,观察药物疗效及不良反应;重视心理疏导与康复训练,做好转科准备和延续性护理。经过精心的治疗与护理,术后第16天,患者转入肾移植普通病房继续专科治疗,术后第38天,康复出院。

关键词: 肾移植, 应激性心肌病, 急救, 护理

Abstract:

To summarize the first aid and nursing experience of an ICU patient with stress cardiomyopathy after kidney transplantation. Nursing points：focus on changes in the condition and implement efficient first aid measures; rapid and accurate assessment,safe and stable transport;strict hemodynamic measurement,goal-oriented fluid management;precise drug administration,observation of drug effects and adverse reactions; emphasis on psychological counseling and rehabilitation training and doing a good job of continuous nursing are keys to the smooth transfer of patients. After careful treatment and care,the patient was transferred to the kidney transplant ward for continuous specialist treatment on the 16th day after the operation. On the 38th day after the operation,he recovered and was discharged from the hospital.

Key words: Kidney Transplantation, Stress Cardiomyopathy, First Aid, Nursing Care

林燕, 俞超, 高春华, 张帅, 王奉涛, 褚君卿, 耿可. 1例肾移植术后患者合并应激性心肌病的急救与护理[J]. 中华护理杂志, 2022, 57(18): 2252-2255.

LIN Yan, YU Chao, GAO Chunhua, ZHANG Shuai, WANG Fengtao, CHU Junqing, GENG Ke. First aid and nursing care of a patient with induced stress cardiomyopathy after kidney transplantation[J]. Chinese Journal of Nursing, 2022, 57(18): 2252-2255.

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1例肾移植术后患者合并应激性心肌病的急救与护理

First aid and nursing care of a patient with induced stress cardiomyopathy after kidney transplantation

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