经外周静脉置入中心静脉导管致过敏性休克患者的护理

doi:10.3761/j.issn.2096-7446.2024.10.011

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (10): 931-933.doi: 10.3761/j.issn.2096-7446.2024.10.011

经外周静脉置入中心静脉导管致过敏性休克患者的护理

江南, 孙红玲, 郭溪, 柯喻, 赵锐祎

310009 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2024-01-10 发布日期:2024-10-21
通讯作者: 赵锐祎,E-mail：2192028@zju.edu.cn
作者简介:江南：女,硕士,主管护师,E-mail：jiangnan0730@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目（2023KY116）,中国研究型医院学会护理分会2022年临床护理研究课题（Y2022FH-HLFH06-10）

Nursing care of a patient with anaphylactic shock caused by peripherally inserted central venous catheter

JIANG Nan, SUN Hongling, GUO Xi, KE Yu, ZHAO Ruiyi

Received:2024-01-10 Published:2024-10-21

摘要/Abstract

摘要： 总结1例乳腺癌患者置入PICC致过敏性休克的护理体会。针对患者发病早期变应原不明确、过敏症状与PICC相关应激反应、心律失常、类过敏反应相似等问题,通过早期识别导管过敏,启动快速反应小组,积极配合抗过敏、抗休克治疗,严密监护,心理护理等措施,3 d后患者病情稳定出院。出院后随访2个月,患者状况良好。

关键词: 经外周静脉置入中心静脉导管, 过敏, 急症护理

Abstract: To summarizes the nursing experience of a breast cancer patient with anaphylactic shock caused by peripherally inserted central venous catheter（PICC） placement. In view of the unclear allergic source in the early stage of the onset,the similarities between the allergic symptoms and PICC-related stress reaction,arrhythmia,and anaphylactoid reaction,early identification of catheter allergy,activating a rapid response team,actively cooperating with anti-allergic and anti-shock treatment,close monitoring,psychological care and other measures were taken. The patient was discharged from the hospital in the stable condition 3 days after the treatment. The patient was followed up for 2 months after discharge and was in good condition.

Key words: Peripherally Inserted Central Catheters, Allergy, Emergency Nursing

江南, 孙红玲, 郭溪, 柯喻, 赵锐祎. 经外周静脉置入中心静脉导管致过敏性休克患者的护理[J]. 中华急危重症护理杂志, 2024, 5(10): 931-933.

JIANG Nan, SUN Hongling, GUO Xi, KE Yu, ZHAO Ruiyi. Nursing care of a patient with anaphylactic shock caused by peripherally inserted central venous catheter[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(10): 931-933.

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经外周静脉置入中心静脉导管致过敏性休克患者的护理

Nursing care of a patient with anaphylactic shock caused by peripherally inserted central venous catheter

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