Abstract:

The nursing care of a case of Sheehan syndrome with infection and combined with diabetic ketoacidosis was summarized. To improve prognosis of the disease and guarantee patient’s safety，key points of nursing care are as following：sufficient early liquid resuscitation and target-oriented management of blood glucose to correct internal environment disorder；dynamic monitoring of condition，implementing hormone replacement therapy by stages to prevent pituitary crises；to measure the mental state and implement cluster intervention measures to prevent infection worsening；regular follow-up and disease education to improve patients’ disease self-management ability. After positive treatment and careful nursing care，no serious complications occurred，blood glucose was controlled well，and the case was in stable conditions and was discharged.

Key words: Sheehan’s Syndrome, Diabetic Ketoacidosis, Infection, Nursing Care

摘要：

总结1例席汉综合征伴感染合并糖尿病酮症酸中毒患者的护理经验。护理要点：早期积极补液，实施目标导向性血糖管理，纠正内环境紊乱；严密观察病情变化，分阶段落实激素替代治疗，预防垂体危象；采取集束化护理措施，预防感染加重；定期随访和疾病宣教，提高患者疾病自我管理能力。经过积极治疗和精心护理，患者未出现严重并发症，病情平稳，情绪良好，顺利出院。

关键词: 席汉综合征, 糖尿病酮症酸中毒, 感染, 护理