中华护理杂志 ›› 2024, Vol. 59 ›› Issue (23): 2915-2918.DOI: 10.3761/j.issn.0254-1769.2024.23.016

• 疑难重症护理 • 上一篇    下一篇

1例垂体瘤术后继发垂体功能减退症患者合并重症肺炎的护理

陈浩莹(), 曾莉容(), 杜欣欣, 张星   

  1. 519000 珠海市 中山大学附属第五医院内分泌与代谢病科
  • 收稿日期:2024-06-09 出版日期:2024-12-10 发布日期:2024-12-12
  • 通讯作者: 曾莉容,E-mail:1341682207@qq.com
  • 作者简介:陈浩莹:女,本科,护师,E-mail:543075734@qq.com

Nursing care of a patient with hypopituitarism secondary to pituitary tumor surgery complicated with severe pneumonia

CHEN Haoying(), ZENG Lirong(), DU Xinxin, ZHANG Xing   

  • Received:2024-06-09 Online:2024-12-10 Published:2024-12-12

摘要:

总结1例垂体瘤术后继发垂体功能减退症患者合并重症肺炎的护理经验。护理要点:进行气道管理,提高氧合指数;落实目标导向性营养支持方案;持续性预防与监测垂体危象的发生;早期开展中西医结合肺康复训练;实施延续性护理以提高疾病管理能力。经过24 d精心治疗和护理,患者病情好转出院,复查垂体功能指标正常。

关键词: 重症监护病房, 垂体功能减退症, 肺炎, 气道管理, 护理

Abstract:

To summarize the nursing experience of a patient with severe pneumonia complicated with hypopituitarism. Key points of nursing:perform airway management and improve oxygenation index;implementing goal-oriented nutrition support programmes to improve nutritional status;continuously preventing and monitoring the occurrence of pituitary crisis;carrying out early lung rehabilitation training combining traditional Chinese medicine and Western medicine;delivering continuity of care to improve disease management capacity. After 24 days of careful treatment and nursing,the patient gets better and was discharged.

Key words: Intensive Care Unit, Hypopituitarism, Pneumonia, Airway Management, Nursing Care