阿米巴巨大肝脓肿致脓毒性休克患者的中西医护理

doi:10.3761/j.issn.2096-7446.2026.11.012

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (11): 1348-1350.doi: 10.3761/j.issn.2096-7446.2026.11.012

阿米巴巨大肝脓肿致脓毒性休克患者的中西医护理

邱哲灿(), 黄晓霞^*(), 唐佳迎

浙江大学医学院附属第二医院护理部杭州市 310000

收稿日期:2025-11-27 出版日期:2026-11-10 发布日期:2026-11-06
通讯作者: *黄晓霞，E-mail：2196031@zju.edu.cn
作者简介:邱哲灿：女，本科，护师，E-mail：737268571@qq.com
作者贡献声明
邱哲灿：确定选题、论文撰写及修改；黄晓霞：研究指导、论文审核；唐佳迎：确定选题、文献查询、资料收集、论文撰写及修改

Nursing care for a patient with amoebic giant liver abscess complicated by septic shock：an integrated traditional Chinese and western approach

QIU Zhecan(), HUANG Xiaoxia^*(), TANG Jiaying

Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China.

Received:2025-11-27 Online:2026-11-10 Published:2026-11-06
Contact: *HUANG Xiaoxia，E-mail：2196031@zju.edu.cn

摘要/Abstract

摘要：

总结1例阿米巴巨大肝脓肿致脓毒性休克患者的中西医护理体会。针对该患者病情进展迅猛、合并脓毒性休克及肠道菌群紊乱等问题，实施综合治疗与系统化护理干预：阿米巴感染早期识别与院内传播风险防控；脓毒性休克期实施液体管理与容量精细化评估；针对不全性肠梗阻合并肠道菌群紊乱实施中西医综合干预；针对脱机困难的集束化管理与谵妄预防。患者病情逐步趋于稳定，于入院后第38天顺利出院。

关键词: 肝脓肿, 阿米巴性, 休克, 脓毒性, 肠道菌群紊乱, 中西医护理, 危重病护理

Abstract:

This article summarized the nursing experience of a patient with amoebic giant liver abscess complicated by septic shock using an integrated traditional Chinese and western nursing approach. Given the rapid disease progression，septic shock，and intestinal flora dysbiosis，comprehensive treatment and systematic nursing care were implemented，including early identification of amoebic infection and prevention of nosocomial transmission，fluid volume management and refined assessment in septic shock，integrated traditional Chinese and western medicine intervention for incomplete intestinal obstruction with intestinal flora disturbance，cluster management and delirium prevention for difficult weaning. The patient’s condition gradually stabilized and was discharged after 38 days.

Key words: Liver Abscess, Amebic, Shock, Septic, Gut Microbiota Dysbiosis, Integrated Traditional Chinese and Western Nursing, Critical Care Nursing

邱哲灿, 黄晓霞, 唐佳迎. 阿米巴巨大肝脓肿致脓毒性休克患者的中西医护理[J]. 中华急危重症护理杂志, 2026, 7(11): 1348-1350.

QIU Zhecan, HUANG Xiaoxia, TANG Jiaying. Nursing care for a patient with amoebic giant liver abscess complicated by septic shock：an integrated traditional Chinese and western approach[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(11): 1348-1350.

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阿米巴巨大肝脓肿致脓毒性休克患者的中西医护理

Nursing care for a patient with amoebic giant liver abscess complicated by septic shock：an integrated traditional Chinese and western approach

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