中华护理杂志 ›› 2022, Vol. 57 ›› Issue (17): 2141-2144.DOI: 10.3761/j.issn.0254-1769.2022.17.015

• 临床实践 • 上一篇    下一篇

1例免疫检查点抑制剂相关重症心肌炎患者合并心源性休克的护理

徐南娇(), 胡蕾()   

  1. 210008 南京市 南京鼓楼医院心血管内科
  • 收稿日期:2022-01-24 出版日期:2022-09-10 发布日期:2022-09-07
  • 通讯作者: 胡蕾,E-mail: hulei080329@163.com
  • 作者简介:徐南娇:女,硕士,主管护师,护士长,E-mail: 315418168@qq.com
  • 基金资助:
    2019年度南京大学现代医院管理与发展研究所课题项目和南京鼓楼医院医学发展医疗救助基金会资助项目(NDYG 2019014);2019年度南京大学现代医院管理与发展研究所课题项目和南京鼓楼医院医学发展医疗救助基金会资助项目(NDYG2019018)

Nursing care of a patient with immune checkpoint inhibitors related cardiogenic shock after acute fulminant myocarditis

XU Nanjiao(), HU Lei()   

  • Received:2022-01-24 Online:2022-09-10 Published:2022-09-07

摘要:

总结1例免疫检查点抑制剂相关重症心肌炎患者合并心源性休克的护理经验。护理要点包括循环目标导向性容量管理、并发症(出血与血栓、心律失常、感染等)的观察与护理、心理护理以及个性化康复护理等。经过专业、规范与精细化救治与护理,患者于第16天康复出院,出院1个月随访恢复良好。

关键词: 免疫检查点抑制剂, 心肌炎, 休克,心源性, 护理, 重症监护

Abstract:

To summarize the nursing experience of a patient with immune checkpoint inhibitors related cardiogenic shock after acute fulminant myocarditis. The main points of nursing care included cyclic goal-oriented volume management,monitoring and nursing of complications(such as bleeding and thrombosis,arrhythmia,infection,etc.),psychological nursing,personalized rehabilitation nursing,etc. After 16 days of professional,standardized and refined treatment and nursing,the patient was discharged from the hospital and recovered well 1 month after discharge.

Key words: Immune Checkpoint Inhibitors, Myocarditis, Shock,Cardiogenic, Nursing Care, Intensive Care