Abstract:

This article summarizes the nursing experience of a patient with cold agglutinin syndrome who experienced 2 sudden cardiac arrests. The nursing key points included：balancing the contradiction between hypothermia rewarming and head therapeutic hypothermia，thereby optimizing the temperature management strategy； controlling the entire process to ensure the safety of blood transfusion； conducting dynamic assessment and monitoring of coagulation function，preventing both bleeding and thrombosis； timing of nutritional therapy and progressive feeding at the right time；multidisciplinary collaboration was implemented to carry out a rehabilitation activity plan during continuous renal replacement therapy； preventing ICU delirium. With comprehensive treatment and meticulous nursing care provided by the multidisciplinary team，the patient was discharged in good condition after 22 days of hospitalization，and has resumed his daily working life after 3 months of follow-up.

Key words: Cold Agglutinin Syndrome, Cardiac Arrest, Therapeutic Hypothermia, Nursing Care

摘要：

总结1例继发性冷凝集素综合征患者突发2次心搏骤停的护理经验。护理要点：缓解低体温复温与头部治疗性低体温的矛盾，优化体温管理策略；全程把控，确保输血安全；动态评估与监测凝血功能，预防出血与血栓；把握时机，适时开展营养治疗，实施渐进式喂养；多学科协作，落实连续性肾脏替代治疗期间康复活动方案；预防ICU谵妄发生。经多学科团队的综合治疗和精心护理，患者住院22 d后康复出院，随访3个月，已恢复日常工作生活。

关键词: 冷凝集素综合征, 心搏骤停, 治疗性低体温, 护理