Nursing care of a patient with paroxysmal nocturnal hemoglobinuria secondary to splenic rupture after cesarean section

doi:10.3761/j.issn.0254-1769.2021.08.007

Abstract

Abstract:

The nursing experience of a patient with paroxysmal nocturnal hemoglobinuria secondary to spleen rupture after cesarean section was summarized. The experience includes rapid establishment of venous access after rupture,close monitoring of blood pressure and intra-abdominal changes;the reduction of blood hemolysis during blood transfusion,the observation and prevention of embolism;management of plasma exchange;the application of ekulimab injection can avoid the occurrence of adverse reactions; carrying out protective isolation to reduce the risk of infection;psychological care and health education for patients to help them build confidence in overcoming diseases. After careful treatment and nursing care,the patient was discharged 16 days after admission.

Key words: Cesarean Section, Paroxysmal Nocturnal Hemoglobinuria, Hemolytic Anemia, Spleen Rupture, Obstetrical Nursing

摘要：

总结1例剖宫产术后阵发性睡眠性血红蛋白尿症患者继发脾破裂的护理经验。包括脾破裂后快速建立静脉通路,密切监测血压、腹内压变化;减少输血时的溶血反应并做好栓塞的观察与预防;血浆置换的管理;依库丽单抗注射液的应用,避免不良反应的发生;进行保护性隔离,降低感染风险;做好患者的心理护理及健康宣教,帮助其树立战胜疾病的信心。经过精心的治疗及护理,患者于入院后16 d出院。

关键词: 剖宫产术, 阵发性睡眠性血红蛋白尿, 溶血性贫血, 脾破裂, 产科护理

LI Chuansheng,MI Yuanyuan,ZHANG Zhenyu,LIU Lingyun,ZHOU Qin,LIANG Liyan,CHU Jing. Nursing care of a patient with paroxysmal nocturnal hemoglobinuria secondary to splenic rupture after cesarean section[J]. Chinese Journal of Nursing, 2021, 56(8): 1165-1168.

李传圣,米元元,张振宇,刘凌云,周芹,梁荔燕,初静. 1例剖宫产术后阵发性睡眠性血红蛋白尿症患者继发脾破裂的护理[J]. 中华护理杂志, 2021, 56(8): 1165-1168.

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