创伤性尿胸患者的早期识别及护理

doi:10.3761/j.issn.2096-7446.2026.02.009

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 190-192.doi: 10.3761/j.issn.2096-7446.2026.02.009

创伤性尿胸患者的早期识别及护理

应陈娴¹(), 程鹏飞¹, 王海珍²^,^*()

1.浙江大学医学院附属第二医院护理部杭州市 310009
2.浙江大学医学院附属第二医院急诊医学科杭州市 310009

收稿日期:2025-08-05 出版日期:2026-02-10 发布日期:2026-02-02
通讯作者: 王海珍 E-mail:527053115@qq.com;2508083@zju.edu.cn
作者简介:应陈娴：女，本科，主管护师，E-mail：527053115@qq.com
基金资助:
浙江省教育厅一般科研项目(Y202454755)

Early identification and nursing care of a patient with traumatic urinothorax

YING Chenxian¹(), CHENG Pengfei¹, WANG Haizhen²^,^*()

1. Department of Nursing， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China
2. Department of Emergency Medicine， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China

Received:2025-08-05 Online:2026-02-10 Published:2026-02-02
Contact: WANG Haizhen E-mail:527053115@qq.com;2508083@zju.edu.cn
Supported by:
General Scientific Research Project of Education Department of Zhejiang Province(Y202454755)

摘要/Abstract

摘要：

总结1例创伤性尿胸患者的护理体会。针对患者尿胸、急性肾损伤、凝血功能障碍、低体温问题，通过早期识别创伤性尿胸、连续性肾脏替代治疗、综合干预创伤性凝血障碍、精细化体温管理、个体化肺部康复等护理措施，患者经过15 d的治疗及护理，病情稳定，顺利转入康复医院继续治疗。

关键词: 危重病护理, 多处创伤, 胸腔积液

Abstract:

This paper summarized the nursing experience of a patient with traumatic urinothorax. In response to the patient’s urinothorax，acute kidney injury，coagulation dysfunction and hypothermia，the following nursing measures were taken，including early identification of traumatic urinothorax，continuous renal replacement therapy，comprehensive intervention for traumatic coagulation disorders，meticulous temperature management，and individualized pulmonary rehabilitation strategies. After 15 days of treatment and care，the patient’s condition was stable and he was transferred to a rehabilitation hospital for further treatment.

Key words: Critical Care Nursing, Multiple Trauma, Pleural Effusion

应陈娴, 程鹏飞, 王海珍. 创伤性尿胸患者的早期识别及护理[J]. 中华急危重症护理杂志, 2026, 7(2): 190-192.

YING Chenxian, CHENG Pengfei, WANG Haizhen. Early identification and nursing care of a patient with traumatic urinothorax[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 190-192.

参考文献 10

[1]	徐君林, 谢江凌, 冉强, 等. 经皮肾镜取石术后尿胸1例报告[J]. 中华泌尿外科杂志, 2024, 45(6):475-476.
	Xu JL, Xie JL, Ran Q, et al. Urinothorax following percutaneous nephrolithotomy:a case report[J]. Chin J Urol, 2024, 45(6):475-476.
[2]	Corriere JN Jr, Miller WT, Murphy JJ. Hydronephrosis as a cause of pleural effusion[J]. Radiology, 1968, 90(1):79-84. pmid: 4169467
[3]	Toubes ME, Lama A, Ferreiro L, et al. Urinothorax:a systematic review[J]. J Thorac Dis, 2017, 9(5):1209-1218. doi: 10.21037/jtd.2017.04.22 pmid: 28616270
[4]	Powers RE, Estrada-Y-Martin RM, Cherian SV. Urinothorax:an under-reported cause of pleural effusions[J]. QJM, 2022, 115(12):862-863. doi: 10.1093/qjmed/hcac194
[5]	Wankhade BS, Alrais ZF, Alrais GZ, et al. Epidemiology and out-come of an acute kidney injuries in the polytrauma victims admitted at the apex trauma center in Dubai[J]. Acute Crit Care, 2023, 38(2):217-225. doi: 10.4266/acc.2023.00388
[6]	Nasu T, Ueda K, Kawashima S, et al. Prediction of early acute kidney injury after trauma using prehospital systolic blood pressure and lactate levels:a prospective validation study[J]. Injury, 2022, 53(1):81-85. doi: 10.1016/j.injury.2021.09.039
[7]	中华医学会肾脏病学分会专家组. 连续性肾脏替代治疗的抗凝管理指南[J]. 中华肾脏病杂志, 2022, 38(11):1016-1024.
	Expert Group of Nephrology Branch of Chinese Medical Asso-ciation. Guideline for the anticoagulant management of conti-nuous renal replacement therapy[J]. Chin J Nephrol, 2022, 38(11):1016-1024.
[8]	卢骁, 张茂. 2021创伤ICU深静脉血栓预防策略:美国创伤危重症学会专家共识[J]. 中华急诊医学杂志, 2021, 30(4):390-392.
	Lu X, Zhang M. 2021 trauma ICU deep venous thrombosis prevention strategies:expert consensus of the American society for the surgery of trauma critical care committee[J]. Chin J Emerg Med,2021, 30(4):390-392.
[9]	Forristal C, Van Aarsen K, Columbus M, et al. Predictors of hy-pothermia upon trauma center arrival in severe trauma pa-tients transported to hospital via EMS[J]. Prehosp Emerg Care, 2020, 24(1):15-22. doi: 10.1080/10903127.2019.1599474 pmid: 30945956
[10]	中国老年医学会呼吸病学分会, 中国康复医疗机构联盟呼吸康复专业委员会. 吸入疗法在呼吸康复中应用的中国专家共识[J]. 中华结核和呼吸杂志, 2022, 45(8):753-761.
	Respiratory Disease Branch of Chinese Geriatric Medicine Association,Respiratory Rehabilitation Professional Committee of China Rehabilitation Medical Institution Alliance. Expert consensus on the application of inhalation therapy in respira-tory rehabilitation[J]. Chin J Tubere Respir Dis, 2022, 45(8):753-761.

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创伤性尿胸患者的早期识别及护理

Early identification and nursing care of a patient with traumatic urinothorax

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