1例桥本脑病患者并发脑水肿和癫痫发作的护理

doi:10.3761/j.issn.0254-1769.2025.11.017

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (11): 1389-1393.DOI: 10.3761/j.issn.0254-1769.2025.11.017

1例桥本脑病患者并发脑水肿和癫痫发作的护理

陈梅雪(), 封梅, 林清然(), 蓝静儒, 单妙航, 吕伟涛

523700 广东省东莞市妇幼保健院护理部（陈梅雪）；暨南大学附属第一医院重症监护室（封梅，蓝静儒，单妙航，吕伟涛），护理部（林清然）

收稿日期:2024-12-09 出版日期:2025-06-10 发布日期:2025-06-03
通讯作者: 林清然，E-mail：qingranlin@126.com
作者简介:陈梅雪：女，硕士，主管护师，E-mail：meixue789@163.com
基金资助:
暨南大学第一临床医学院护理科研专项基金面上项目(2023202)

Nursing care of a patient with Hashimoto’s encephalopathy accompanied by cerebral edema and epileptic seizures

CHEN Meixue(), FENG Mei, LIN Qingran(), LAN Jingru, SHAN Miaohang, LÜ Weitao

Received:2024-12-09 Online:2025-06-10 Published:2025-06-03

摘要/Abstract

摘要：

总结1例桥本脑病并发脑水肿和癫痫发作患者的护理经验。护理要点：加强集束化脑水肿及颅内高压护理，减轻脑损伤；全方位综合管理癫痫发作，防控严重并发症；开展个体化双重滤过血浆置换护理，优化治疗效果；采取预见性护理措施，降低感染风险；实施多种形式的心理护理，缓解患者及其家属负面情绪；提供健康指导和随访管理，增强患者及其家属疾病管理能力。经过27 d的积极治疗与精心护理，患者顺利出院，经过半年随访，恢复良好。

关键词: 桥本脑病, 脑水肿, 癫痫, 多学科医护团队, 双重滤过血浆置换, 护理

Abstract:

This article aims to summarize the nursing experience of a patient with Hashimoto’s encephalopathy accompanied by cerebral edema and epileptic seizures. The key nursing points：to strengthen nursing care for cerebral edema and intracranial hypertension to reduce brain injury；to comprehensively manage epileptic seizures to prevent and control serious complications；to carry out personalized Double Filtration Plasmapheresis nursing to optimize treatment effectiveness；to take proactive nursing measures to reduce the risk of infection；to implement multiple forms of psychological care to alleviate negative emotions of the patient and his families；to provide health guidance and regular follow-up to enhance the disease management capabilities of patients and his families. After 27 days of active treatment and meticulous care，the patient recovered and was discharged，with a good recovery during follow-up.

Key words: Hashimoto’s Encephalopathy, Cerebral Edema, Epilepsy, Multidisciplinary Medical and Nursing Team, Double Filtration Plasmapheresis, Nursing Care

陈梅雪, 封梅, 林清然, 蓝静儒, 单妙航, 吕伟涛. 1例桥本脑病患者并发脑水肿和癫痫发作的护理[J]. 中华护理杂志, 2025, 60(11): 1389-1393.

CHEN Meixue, FENG Mei, LIN Qingran, LAN Jingru, SHAN Miaohang, LÜ Weitao. Nursing care of a patient with Hashimoto’s encephalopathy accompanied by cerebral edema and epileptic seizures[J]. Chinese Journal of Nursing, 2025, 60(11): 1389-1393.

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1例桥本脑病患者并发脑水肿和癫痫发作的护理

Nursing care of a patient with Hashimoto’s encephalopathy accompanied by cerebral edema and epileptic seizures

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