中华护理杂志 ›› 2022, Vol. 57 ›› Issue (3): 290-293.DOI: 10.3761/j.issn.0254-1769.2022.03.006

• 重症护理专题 • 上一篇    下一篇

1例多发性内分泌瘤病并发儿茶酚胺心肌病患者突发心搏骤停的护理

庄耀宁(), 陈一媛, 林敏, 黄美春, 林群英()   

  1. 351100 福建省莆田市 莆田学院附属医院呼吸与危重症医学科监护室(庄耀宁,陈一媛,林群英),护理部(林敏,黄美春)
  • 收稿日期:2021-08-12 出版日期:2022-02-10 发布日期:2022-01-24
  • 通讯作者: 林群英,E-mail: 143148399@qq.com
  • 作者简介:庄耀宁:男,本科(硕士在读),主管护师,E-mail: 781938868@qq.com

Nursing care of sudden cardiac arrest in a patient with multiple endocrine neoplasia with catecholamine cardiomyopathy

ZHUANG Yaoning(), CHEN Yiyuan, LIN Min, HUANG Meichun, LIN Qunying()   

  • Received:2021-08-12 Online:2022-02-10 Published:2022-01-24

摘要:

总结1例多发性内分泌瘤病2A型并发儿茶酚胺心肌病患者突发心搏骤停的护理经验。护理主要内容如下:组建多学科团队,制订诊疗方案;减少刺激,避免诱发高血压危象;儿茶酚胺心肌病危象的识别与急救护理;体外膜肺氧合与血液净化生命支持的护理;目标体温管理。患者入院第15天病情稳定,顺利转科继续治疗。

关键词: 多发性内分泌瘤病, 儿茶酚胺心肌病, 嗜铬细胞瘤, 心脏停搏, 护理

Abstract:

To summarize the nursing experience of a patient with multiple endocrine neoplasia catecholamine cardiomyopathy with sudden cardiac arrest. Key points of nursing care:setting up a multidisciplinary team to formulate diagnosis and treatment plan;reducing stimulation,avoiding inducing hypertensive crisis;recognition and emergency nursing care of catecholamine cardiomyopathy crisis;nursing care of extracorporeal membrane oxygenation and blood purification life support;target temperature management. The patient’s condition was stable on the 15th day of admission and she was successfully transferred to another department for further treatment.

Key words: Multiple Endocrine Neoplasia, Catecholamine Cardiomyopathy, Pheochromocytoma, Heart Arrest, Nursing Care