高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理

doi:10.3761/j.issn.2096-7446.2025.09.013

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (9): 1100-1102.doi: 10.3761/j.issn.2096-7446.2025.09.013

高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理

郭京(), 靳瑾, 王欣然()

100053 北京市首都医科大学宣武医院普外科监护室

收稿日期:2025-02-17 出版日期:2025-09-10 发布日期:2025-09-02
通讯作者: 王欣然 E-mail:sudoubao@163.com;Xwsicu2011@163.com
作者简介:郭京：女，本科，主管护师，E-mail：sudoubao@163.com

Care of a patient with hypertriglyceridemia induced acute pancreatitis undergoing continuous renal replacement therapy combined with hemosorption

GUO Jing(), JIN Jin, WANG Xinran()

Received:2025-02-17 Online:2025-09-10 Published:2025-09-02
Contact: WANG Xinran E-mail:sudoubao@163.com;Xwsicu2011@163.com

摘要/Abstract

摘要：

总结1例高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理体会。护理要点：医护一体化，确保联合治疗顺利实施；血浆置换序贯血浆吸附的实施与监护，血浆置换期间预防破膜，有效连接确保序贯血浆吸附的实施；血液透析滤过联合血液灌流在减少血脂回弹的同时预防低血压发生，严格进行容量管理，保护重要脏器功能。经过14 d的治疗护理，患者顺利出院。

关键词: 乳糜血, 重症急性胰腺炎, 血液透析滤过, 血液灌注, 护理

Abstract:

To summarize the nursing experience of one case of hypertriglyceridemia induced severe acute pancreatitis patient who underwent continuous renal replacement therapy combined with hemosorption. Nursing points included medical and nursing integration to ensure the smooth implementation of combined treatment；implementation and monitoring of plasma replacement sequential plasma adsorption，prevention of rupture of membranes during plasma replacement，effective connection to ensure the implementation of sequential plasma adsorption；haemodialysis combined with hemoperfusion to reduce lipid rebound while preventing the occurrence of hypotension，and strict volume management to protect the vital organ function. After 14 d of treatment and care，the patient was successfully discharged from the hospital.

Key words: Chylemia, Severe Acute Pancreatitis, Hemodiafiltration, Hemoperfusion, Critical Care Nursing

郭京, 靳瑾, 王欣然. 高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理[J]. 中华急危重症护理杂志, 2025, 6(9): 1100-1102.

GUO Jing, JIN Jin, WANG Xinran. Care of a patient with hypertriglyceridemia induced acute pancreatitis undergoing continuous renal replacement therapy combined with hemosorption[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1100-1102.

参考文献 8

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高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理

Care of a patient with hypertriglyceridemia induced acute pancreatitis undergoing continuous renal replacement therapy combined with hemosorption

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