1例流行性乙型脑炎继发暴发性心肌炎合并呼吸衰竭患者的护理

doi:10.3761/j.issn.0254-1769.2026.19.015

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (19): 2696-2700.DOI: 10.3761/j.issn.0254-1769.2026.19.015

1例流行性乙型脑炎继发暴发性心肌炎合并呼吸衰竭患者的护理

孙佳琦(), 俞超^*(), 林燕, 金佳敏, 耿可

浙江大学医学院附属第一医院护理部杭州市 311100

收稿日期:2026-02-23 出版日期:2026-10-10 发布日期:2026-09-28
*通讯作者: 俞超，E-mail：linxiaosu@zju.edu.cn
作者简介:孙佳琦：女，本科，护师，E-mail：a82533919@icloud.com
第一联系人：作者贡献声明
孙佳琦：病例资料收集、论文撰写；俞超、林燕：论文构思与审校；金佳敏、耿可：论文修改、文献查阅
基金资助:
浙江省医药卫生科技计划项目(2025KY819)

Nursing care for a patient with Japanese encephalitis complicated by fulminant myocarditis and respiratory failure

SUN Jiaqi(), YU Chao^*(), LIN Yan, JIN Jiamin, GENG Ke

Department of Nursing， the First Affiliated Hospital，Zhejiang University School of Medicine， Hangzhou， 311100， China

Received:2026-02-23 Online:2026-10-10 Published:2026-09-28
* Corresponding author: YU Chao，E-mail：linxiaosu@zju.edu.cn
Funding program:
Zhejiang Provincial Medical and Health Science and Technology Plan Project(2025KY819)

摘要/Abstract

摘要：

总结1例流行性乙型脑炎继发暴发性心肌炎合并呼吸衰竭患者的护理。护理要点：开展多维度动态监测，预防多器官功能损伤；优化呼吸支持与气道管理，加速呼吸功能康复；制订个性化康复计划，促进神经功能重建；全面落实感染防控，防止虫媒传播与继发感染。经过27 d的精心治疗与护理，患者病情好转并顺利出院，电话随访3个月，状况良好。

关键词: 流行性乙型脑炎, 暴发性心肌炎, 呼吸衰竭, 护理, 病例报告

Abstract:

To summarize the nursing experience of a patient with Japanese encephalitis complicated by fulminant myocarditis and respiratory failure. Key points of nursing：multidimensional dynamic monitoring was performed to prevent multiple organ dysfunction；respiratory support and airway management were optimized to accelerate the recovery of respiratory function；individualized rehabilitation protocols were formulated to promote neurological functional reconstruction；comprehensive infection prevention and control measures were implemented to prevent vector-borne transmission and secondary infection. After 27 days of meticulous treatment and nursing care，the patient’s condition improved and he was discharged smoothly. During a 3-month telephone follow-up，the patient remained in good condition.

Key words: Japanese Encephalitis, Fulminant Myocarditis, Respiratory Failure, Nursing Care, Case Report

孙佳琦, 俞超, 林燕, 金佳敏, 耿可. 1例流行性乙型脑炎继发暴发性心肌炎合并呼吸衰竭患者的护理[J]. 中华护理杂志, 2026, 61(19): 2696-2700.

SUN Jiaqi, YU Chao, LIN Yan, JIN Jiamin, GENG Ke. Nursing care for a patient with Japanese encephalitis complicated by fulminant myocarditis and respiratory failure[J]. Chinese Journal of Nursing, 2026, 61(19): 2696-2700.

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1例流行性乙型脑炎继发暴发性心肌炎合并呼吸衰竭患者的护理

Nursing care for a patient with Japanese encephalitis complicated by fulminant myocarditis and respiratory failure

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