1例严重低体温帕金森病患者合并心律失常的急救护理

doi:10.3761/j.issn.0254-1769.2025.13.017

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (13): 1642-1645.DOI: 10.3761/j.issn.0254-1769.2025.13.017

1例严重低体温帕金森病患者合并心律失常的急救护理

王钰炜(), 周帅帅, 闫丹萍, 刘亚洁, 王美玲, 许书荣, 王飒()

310009 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2025-01-15 出版日期:2025-07-10 发布日期:2025-07-03
通讯作者: 王飒，E-mail：2506025@zju.edu.cn
作者简介:王钰炜：女，硕士，副主任护师，E-mail：zrwyw@zju.edu.cn

Emergency care for a patient with severe hypothermia Parkinson's disease complicated with cardiac arrhy-thmia

WANG Yuwei(), ZHOU Shuaishuai, YAN Danping, LIU Yajie, WANG Meiling, XU Shurong, WANG Sa()

Received:2025-01-15 Online:2025-07-10 Published:2025-07-03

摘要/Abstract

摘要：

总结1例帕金森病患者严重低体温合并室性心律失常的急救与护理。护理要点：持续体核温度监测，目标导向分段渐进式复温；预警性识别心律失常，实施快速反应性抢救；精准液体管理与皮肤保护，动态优化血液灌注与压力分散；严密观察低体温并发症，早期识别并迅速干预。经过多学科的救治和精细化护理，患者住院17 d顺利出院；出院3个月随访，患者恢复良好，无再发此类情况。

关键词: 严重低体温, 帕金森病, 心律失常, 急救护理

Abstract:

This report summarizes the emergency care and nursing interventions for a Parkinson's disease patient with severe hypothermia complicated by ventricular arrhythmia. Key nursing points included continuous core temperature monitoring with goal-directed，phased，progressive rewarming；proactive identification and rapid response to arrhythmias；precise fluid management and skin protection to dynamically optimize blood perfusion and pressure redistribution；vigilant prevention and early intervention of hypothermia-related complications. With multidisciplinary treatment and meticulous nursing care，the patient was successfully discharged after 17 days of hospitalization with a favorable recovery. At the three-month follow-up after discharge，the patient had recovered well with no recurrence of similar episodes.

Key words: Severe Hypothermia, Parkinson's Disease, Arrhythmia, Emergency Care

王钰炜, 周帅帅, 闫丹萍, 刘亚洁, 王美玲, 许书荣, 王飒. 1例严重低体温帕金森病患者合并心律失常的急救护理[J]. 中华护理杂志, 2025, 60(13): 1642-1645.

WANG Yuwei, ZHOU Shuaishuai, YAN Danping, LIU Yajie, WANG Meiling, XU Shurong, WANG Sa. Emergency care for a patient with severe hypothermia Parkinson's disease complicated with cardiac arrhy-thmia[J]. Chinese Journal of Nursing, 2025, 60(13): 1642-1645.

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1例严重低体温帕金森病患者合并心律失常的急救护理

Emergency care for a patient with severe hypothermia Parkinson's disease complicated with cardiac arrhy-thmia

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