中华护理杂志 ›› 2025, Vol. 60 ›› Issue (20): 2523-2526.DOI: 10.3761/j.issn.0254-1769.2025.20.014

• 疑难重症护理 • 上一篇    下一篇

1例双肺移植术后患者感染人细小病毒B19诱发癫痫的护理

李哲(), 卢露, 朱林, 孙燕燕   

  1. 310003 杭州市 浙江大学医学院附属第一医院护理部
  • 收稿日期:2025-01-07 出版日期:2025-10-20 发布日期:2025-10-11
  • 作者简介:李哲:女,硕士,主管护师,E-mail:mutouzhe819@163.com
  • 基金资助:
    浙大一院护理学科建设科研项目(2024ZYHL13)

Nursing care of a patient with epilepsy caused by human parvovirus B19 infection after double lung transplantation

LI Zhe(), LU Lu, ZHU Lin, SUN Yanyan   

  • Received:2025-01-07 Online:2025-10-20 Published:2025-10-11

摘要:

总结1例双肺移植术后患者感染人细小病毒B19诱发癫痫的护理经验。护理要点:提高对癫痫发作的早期识别能力与应急响应效能;精准评估,掌握最佳急救时机;关注肺移植术后患者的癫痫恐惧,开展匹配式运动管理方案;实施动态化药物管理,预防不良反应的发生;落实多方位感染预防措施,降低传播风险;重视心理支持与疏导,提升患者及家属治疗信心及依从性。经过精心的治疗及护理,患者术后50 d康复出院,随访8个月,恢复良好。

关键词: 肺移植, 人细小病毒B19, 癫痫, 护理

Abstract:

To summarize the nursing experience of a patient infected with human parvovirus B19 induced epilepsy after double lung transplantation. The contents of nursing care were as follows:improving the early recognition of epileptic seizures and emergency response efficiency;implementing accurate assessment to master the best time for first aid;paying attention to the fear of epilepsy after lung transplantation,and implementing a matching exercise management program. Dynamic management of anti-rejection drugs and antiepileptic drugs were used to prevent adverse reactions;multipronged infection prevention measures were implemented to reduce the risk of transmission;psychological support and counseling should be paid attention to improve the treatment confidence and compliance of patients and their families. After careful treatment and nursing care,the patient recovered and was discharged 50 days after operation,and was followed up for 8 months with good recovery.

Key words: Lung Transplantation, Human Parvovirus B19, Epilepsy, Nursing Care