1例颅内动脉瘤破裂术后合并交感风暴患者的急救护理

doi:10.3761/j.issn.0254-1769.2025.23.016

摘要/Abstract

摘要：

总结1例颅内动脉瘤破裂术后合并交感风暴患者的急救护理。护理要点：实施有效的气道管理，撤机后采用经鼻高流量氧疗以维持充分氧合；加强血流动力学监测，采用目标导向的液体管理策略；规范给药，优化镇痛与镇静策略，保护心肌细胞功能；采用阶梯式肠内营养，确保能量供给；组建过渡期护理联络小组，采用二元心理支持，缓解负性情绪，促进早期康复。经过精心治疗与护理，患者于第21天转入普通病房继续治疗，随访显示患者康复出院，恢复良好。

关键词: 交感风暴, 脑动脉瘤, 经鼻高流量氧疗, 肠内营养, 危重病护理

Abstract:

This paper describes the emergency treatment and nursing care for a patient with sympathetic storm after intracranial aneurysm rupture surgery. Nursing points included：implementing effective airway management，administering sequential high-flow nasal oxygen therapy after weaning，ensuring oxygenation；strengthening hemodynamic monitoring and implementing goal-directed fluid management；conducting accurate medication，optimizing analgesic and sedative strategies，and protection of myocardial cells；implementing gradual enteral feeding to ensure energy supply；establishing a transitional nursing liaison group，applying dual psychological support，reducing negative emotions，and promoting early recovery. After comprehensive treatment and nursing care，the patient was transferred to a general ward for further treatment on the 21st day. After follow-up，the patient recovered and was discharged from the hospital with a favorable outcome.

Key words: Sympathetic Storm, Cerebral Aneurysm, High-Flow Nasal Cannula Oxygen Therapy, Enteral Nutrition, Critical Care Nursing

鲁艳华, 翟祎帆, 黄小燕, 丁海燕, 唐维婕, 徐志坚, 史甜. 1例颅内动脉瘤破裂术后合并交感风暴患者的急救护理[J]. 中华护理杂志, 2025, 60(23): 2929-2932.

LU Yanhua, ZHAI Yifan, HUANG Xiaoyan, DING Haiyan, TANG Weijie, XU Zhijian, SHI Tian. Emergency treatment and nursing care for a patient with sympathetic storm after intracranial aneurysm rupture surgery[J]. Chinese Journal of Nursing, 2025, 60(23): 2929-2932.

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