1例多学科联合治疗血液透析患者并发钙化防御的护理

doi:10.3761/j.issn.0254-1769.2022.07.006

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (7): 807-810.DOI: 10.3761/j.issn.0254-1769.2022.07.006

1例多学科联合治疗血液透析患者并发钙化防御的护理

邵丽芳(), 鄢诚丽(), 俞杰, 鲜雪梅, 毛卓英

322000 义乌市浙江大学医学院附属第四医院血液净化中心（邵丽芳,毛卓英）,骨科（鄢诚丽）,护理部（俞杰）;浙江大学医学院附属邵逸夫医院肛肠外科（鲜雪梅）

收稿日期:2021-09-16 出版日期:2022-04-10 发布日期:2022-03-31
通讯作者: 鄢诚丽,E-mail： yanchengli1208@zju.edu.cn
作者简介:邵丽芳：女,本科,主管护师,E-mail： 850799313@zju.edu.cn
基金资助:
浙江省基础公益研究计划青年基金项目(2018LQ19H0200-10)

Nursing care of a patient complicated with calciphylaxis in hemodialysis treated by multidisciplinary approach

SHAO Lifang(), YAN Chengli(), YU Jie, XIAN Xuemei, MAO Zhuoying

Received:2021-09-16 Online:2022-04-10 Published:2022-03-31

摘要/Abstract

摘要：

总结1例长期维持性血液透析患者治疗12年余并发罕见且威胁生命的钙化防御的护理经验。护理主要内容如下：术前饮食护理,实施个体化的血液透析护理方案,多学科联合治疗下的术后创面护理、疼痛管理、药物治疗、营养支持、个体化的终末期肾病患者钙化防御预防性护理等。患者住院期间共进行2次手术,历时25 d,右上肢功能恢复良好出院,伤口造口门诊规律换药,创面完全愈合。

关键词: 血液透析, 钙化防御, 多学科联合治疗, 护理

Abstract:

The nursing experience of long-term maintenance hemodialysis in a patient with rare and life-threatening calciphylaxis for more than 12 years was summarized. Nursing points include preoperative dietary care,implementation of an individualized hemodialysis nursing program,postoperative wound care,pain management,drug treatment,nutritional support,individualized calciphylaxis preventive care of end stage renal disease（ESRD） patients,etc. under the multidisciplinary approach. During the hospitalization,the patient underwent 2 operations,which lasted 25 days. The right upper limb recovered well and the patient was discharged. Dressing was regularly changed in wound stomy clinic and the wound healed completely.

Key words: Hemodialysis, Calciphylaxis, Multidisciplinary Approach, Nursing Care

邵丽芳, 鄢诚丽, 俞杰, 鲜雪梅, 毛卓英. 1例多学科联合治疗血液透析患者并发钙化防御的护理[J]. 中华护理杂志, 2022, 57(7): 807-810.

SHAO Lifang, YAN Chengli, YU Jie, XIAN Xuemei, MAO Zhuoying. Nursing care of a patient complicated with calciphylaxis in hemodialysis treated by multidisciplinary approach[J]. Chinese Journal of Nursing, 2022, 57(7): 807-810.

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1例多学科联合治疗血液透析患者并发钙化防御的护理

Nursing care of a patient complicated with calciphylaxis in hemodialysis treated by multidisciplinary approach

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