Nursing care of 11 patients with severe acute pancreatitis and diabetic coma caused by diabetic ketoacidosis

doi:10.3761/j.issn.0254-1769.2020.017

Abstract

Abstract:

To summarize the key points of observation and nursing care of 11 patients with severe acute pancreatitis and coma caused by diabetic ketoacidosis. To improve prognosis of the disease and guarantee patients’ safety,key points of nursing are summarized as following：sufficient early liquid resuscitation to avoid complications;correcting internal environment disorder and maintaining blood glucose homeostasis;providing early nutritional support;implementing psychological nursing care and health education. As a result,11 patients were in stable conditions after positive rescue and careful nursing care. They were discharged after 15~20 days.

Key words: Severe Acute Pancreatitis, Diabetic Ketoacidosis, Coma, Nursing Care

摘要：

总结11例糖尿病酮症酸中毒昏迷合并重症急性胰腺炎患者的病情观察要点和护理经验。护理要点包括：早期充分的液体复苏,预防并发症发生;纠正内环境紊乱、维持血糖稳定;早期提供营养支持;实施心理护理并给予健康指导。11例患者经过积极抢救与精心护理,未出现严重并发症,血糖控制平稳,电解质紊乱得到纠正,营养状况良好,情绪稳定,15~20 d病情稳定后出院。

关键词: 重症急性胰腺炎, 糖尿病酮症酸中毒, 昏迷, 护理

ZHANG Xing,GAO Lingling,GUO Xiaodi,HU Xiling. Nursing care of 11 patients with severe acute pancreatitis and diabetic coma caused by diabetic ketoacidosis[J]. Chinese Journal of Nursing, 2020, 55(11): 1701-1705.

张星,高玲玲,郭晓迪,胡细玲. 11例糖尿病酮症酸中毒昏迷患者合并重症急性胰腺炎的护理[J]. 中华护理杂志, 2020, 55(11): 1701-1705.

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