吉兰-巴雷综合征合并胃溃疡出血患者的围手术期护理

doi:10.3761/j.issn.2096-7446.2023.11.011

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (11): 1019-1021.doi: 10.3761/j.issn.2096-7446.2023.11.011

吉兰-巴雷综合征合并胃溃疡出血患者的围手术期护理

江月红, 朱慧娣, 李贝贝, 徐巧英

310003 杭州市浙江大学医学院附属第一医院护理部

收稿日期:2023-05-28 出版日期:2023-11-10 发布日期:2023-11-27
通讯作者: 朱慧娣,E-mail：hzzzhuhuidi0505@yeah.net
作者简介:江月红：女,本科,主管护师,E-mail：453246492@qq.com
基金资助:
浙江中医药科研计划项目（2021ZT003）

Perioperative care of a patient with Guillain-Barré syndrome combined with bleeding gastric ulcers：a case report

JIANG Yuehong, ZHU Huidi, LI Beibei, XU Qiaoying

Received:2023-05-28 Online:2023-11-10 Published:2023-11-27

摘要/Abstract

摘要： 总结1例吉兰-巴雷综合征合并胃溃疡出血患者的围手术期护理体会。针对患者吉兰-巴雷综合征进展期易出现呼吸衰竭、合并胃溃疡反复出血止血困难等疑难问题,做好消化道出血风险评估及急救护理;落实呼吸衰竭的监测和护理;实施阶梯式早期肠内营养方案和以神经康复为目的的运动方案;针对性做好出院指导等护理措施。患者经过23 d的治疗和护理,顺利出院,随访1个月状态良好,体重增加2 kg。

关键词: 吉兰-巴雷综合征, 胃溃疡, 围手术期护理, 危重病护理

Abstract: To summarize the perioperative nursing experience of a patient with Guillain-Barré syndrome combined with gastric ulcer bleeding. The following nursing measures were taken to address the patient's major problems of respiratory failure and difficulty in hemostasis for recurrent bleeding from combined gastric ulcer during the progression of Guillain-Barré syndrome,including risk assessment of gastrointestinal bleeding and emergency care,monitoring and care of respiratory failure,implementation of early nutrition program and motor program aimed at neurological rehabilitation,personalized discharge instruction. After 23 days of treatment and care,the patient was successfully discharged from the hospital. He was in good condition and his weight gained 2 kg at 1-month follow-up.

Key words: Guillain-Barré, Syndrome, Stomach Ulcer, Perioperative Nursing, Critical Care Nursing

江月红, 朱慧娣, 李贝贝, 徐巧英. 吉兰-巴雷综合征合并胃溃疡出血患者的围手术期护理[J]. 中华急危重症护理杂志, 2023, 4(11): 1019-1021.

JIANG Yuehong, ZHU Huidi, LI Beibei, XU Qiaoying. Perioperative care of a patient with Guillain-Barré syndrome combined with bleeding gastric ulcers：a case report[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(11): 1019-1021.

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吉兰-巴雷综合征合并胃溃疡出血患者的围手术期护理

Perioperative care of a patient with Guillain-Barré syndrome combined with bleeding gastric ulcers：a case report

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