灾难性抗磷脂综合征致肢端坏死患者的护理

doi:10.3761/j.issn.2096-7446.2026.02.014

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 207-209.doi: 10.3761/j.issn.2096-7446.2026.02.014

灾难性抗磷脂综合征致肢端坏死患者的护理

陈婷¹(), 王凯丽¹, 王晓慧¹, 罗雪莉¹, 宫晓艳², 庄一渝²^,^*()

1.浙江大学医学院附属邵逸夫医院重症监护室杭州市 310003
2.浙江大学医学院附属邵逸夫医院护理部杭州市 310003

收稿日期:2025-04-10 出版日期:2026-02-10 发布日期:2026-02-02
通讯作者: 庄一渝 E-mail:ct@srrsh.com;zhuangyy@srrsh.com
作者简介:陈婷：女，本科（硕士在读），主管护师，E-mail：ct@srrsh.com

Nursing care of a patient with acral necrosis caused by catastrophic antiphospholipid syndrome

CHEN Ting¹(), WANG Kaili¹, WANG Xiaohui¹, LUO Xueli¹, GONG Xiaoyan², ZHUANG Yiyu²^,^*()

1. Intensive Care Unit， Zhejiang University School of Medicine Sir Run Run Shaw Hospital， Hongzhou 310003， China
2. Nursing Department， Zhejiang University School of Medicine Sir Run Run Shaw Hospital， Hongzhou 310003， China

Received:2025-04-10 Online:2026-02-10 Published:2026-02-02
Contact: ZHUANG Yiyu E-mail:ct@srrsh.com;zhuangyy@srrsh.com

摘要/Abstract

摘要：

总结1例灾难性抗磷脂综合征致肢端坏死患者的护理体会。针对患者病情危重、进展迅猛、多系统受累等问题，采取多学科协作应对灾难性抗磷脂综合征、血栓-出血平衡管理、多器官功能保护、截肢后综合管理等措施。患者病情得到有效控制，入院第7天成功转出ICU，入院第29天康复出院。随访显示，患者未出现出血或新发血栓等并发症，心理状态良好，已开始义肢适配训练。

关键词: 抗磷脂综合征, 筋膜间隔综合征, 截肢术, 外科, 深静脉血栓, 危重病护理

Abstract:

This paper summarized the nursing experience of a patient with acral necrosis caused by catastrophic antiphospholipid syndrome. In response to the patient’s characteristics of critical condition，rapid progression and involvement of multiple systems，measures such as multidisciplinary collaboration to deal with catastrophic antiphospholipid syndrome，balance management of thrombosis and hemorrhage，protection of multiple organ functions，and comprehensive management after amputation were adopted. The patient’s condition was effectively controlled，she was successfully transferred out of the ICU after 7 days and discharged from the hospital after 22 days of recovery. Follow-up showed that there were no complications such as hemorrhage or new thrombosis，the patient’s mental state was good，and she had started prosthetic adaptation training.

Key words: Antiphospholipid Syndrome, Compartment Syndromes, Amputation, Surgical, Deep Vein Throm-bosis, Critical Care Nursing

陈婷, 王凯丽, 王晓慧, 罗雪莉, 宫晓艳, 庄一渝. 灾难性抗磷脂综合征致肢端坏死患者的护理[J]. 中华急危重症护理杂志, 2026, 7(2): 207-209.

CHEN Ting, WANG Kaili, WANG Xiaohui, LUO Xueli, GONG Xiaoyan, ZHUANG Yiyu. Nursing care of a patient with acral necrosis caused by catastrophic antiphospholipid syndrome[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 207-209.

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灾难性抗磷脂综合征致肢端坏死患者的护理

Nursing care of a patient with acral necrosis caused by catastrophic antiphospholipid syndrome

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