ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (6): 704-706.doi: 10.3761/j.issn.2096-7446.2026.06.011

• 急症护理研究 • 上一篇    下一篇

维持性血液透析患者透析中脑出血的早期识别与急救护理

羊木英(), 范文琪, 胡汉*()   

  1. 浙江大学医学院附属第二医院护理部 杭州市 310051
  • 收稿日期:2025-11-03 出版日期:2026-06-10 发布日期:2026-06-02
  • 通讯作者: 胡汉 E-mail:2196016@zju.edu.cn;hh157581@zju.edu.cn
  • 作者简介:羊木英：女，本科，主管护师，护士长，E-mail：2196016@zju.edu.cn
    第一联系人：

    羊木英：论文撰写、实施研究；范文琪：文献检索、循证分析、论文修改；胡汉：资料收集、循证分析、论文修改

Early identification and emergency nursing of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient

YANG Muying(), FAN Wenqi, HU Han*()   

  1. Department of Nursing， the Second Affiliated Hospital Zhejiang University School of Medicine， Hangzhou 310051， China
  • Received:2025-11-03 Online:2026-06-10 Published:2026-06-02
  • Contact: HU Han E-mail:2196016@zju.edu.cn;hh157581@zju.edu.cn

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摘要：

总结1例维持性血液透析患者透析中脑出血的护理体会。鉴于该患者病情危急、手术及康复状况特殊等难点，采用列线图和“平衡、眼、面、上肢、语言和时间”评估工具（balance，eyes，face，arm，speech，time，BE-FAST）联合识别脑出血，启动护理应急梯队以实现安全下机、快速转运及急救处理，落实多学科协作下的分阶段抗凝策略，并开展医院—家庭过渡期护理。经多学科团队救治及精细化全流程护理，患者住院 35 d后出院。随访1个月，患者右侧肌力由Ⅱ级恢复至Ⅲ级，语言功能基本恢复。

关键词: 血液透析滤过, 脑出血, 急症护理, 危重病护理

Abstract:

To summarize the nursing experience of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient. In view of the patient’s critical condition，special surgical and rehabilitation conditions and other difficulties，the nomogram and “balance，eyes，face，arm，speech，time”（BE-FAST） dual tools were used to jointly identify cerebral hemorrhage，the nursing emergency echelon was initiated for safe disembarkation，rapid transport and emergency treatment. The phased anticoagulation strategy under multidisciplinary cooperation was implemented，and hospital family transitional care was carried out. After multidisciplinary team treatment and refined whole process nursing，the patient was discharged 35 days after hospitalization. After one month of follow-up，the right muscle strength recovered from grade Ⅱ to grade Ⅲ，and the language function basically recovered.

Key words: Hemodiafiltration, Cerebral Hemorrhage, Emergency Nursing, Critical Care Nursing