Abstract:

The nursing experience of a patient with sepsis and hemophagocytic syndrome（HPS） secondary to Listeria infection in pregnancy was summarized. Nursing points include：early first aid and restrictive fluid resuscitation for septic shock；HPS high-risk signs identification and coagulation storm intervention，including prioritized monitoring of bleeding risk and coagulation function，precise protection of maternal-fetal collaborative treatment，multi-organ function support and critical illness collaborative management；continuing psychological nursing care and remote follow-up management. After 16 days of active treatment and nursing care，the patient recovered and was discharged. After 3 months of follow-up，the patient gave birth to a boy at full term，and the mother and child were in good condition.

Key words: Pregnancy, Listeria, Hemophagocytic Syndrome, Sepsis, Shock, Obstetrical Nursing

摘要：

总结1例妊娠合并李斯特菌感染继发脓毒症休克并发噬血细胞综合征患者的护理经验。护理要点：脓毒症休克的早期急救护理；实施限制性液体复苏；噬血细胞综合征高危征象的识别与“免疫因子风暴”干预，包括优先监测出血风险与凝血功能、目标导向性炎症控制与胎儿安全防护、多器官功能支持与危重症协同管理；开展延续性心理护理及远程随访管理。经过16 d积极的治疗与护理，患者康复出院；3个月后随访，患者足月分娩一男婴，母婴状况良好。

关键词: 妊娠, 李斯特菌, 噬血细胞综合征, 脓毒症, 休克, 产科护理