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 ›› 2024, Vol. 5 ›› Issue (1): 61-64.doi: 10.3761/j.issn.2096-7446.2024.01.012

• 重症护理研究 • 上一篇    下一篇

重症肺炎并发严重肌溶解及多脏器功能损害患者的护理

谢派玲, 袁帅帅, 刘凤清, 连素冰   

  1. 518000 深圳市 香港大学深圳医院心血管重症监护科
  • 收稿日期:2023-04-27 发布日期:2024-01-25
  • 通讯作者: 袁帅帅,E-mail：yuanshsh@hku-szh.org
  • 作者简介:谢派玲：女,硕士,主管护师,E-mail：pauling121@163.com
  • 基金资助:
    深圳市海外高层次人才创新创业专项基金（孔雀计划创新KQJSCX20180329104902378）

Nursing of a patient with severe pneumonia complicated by severe rhabdomyolysis and multiple organ failure

XIE Pailing, YUAN Shuaishuai, LIU Fengqing, LIAN Subing   

  • Received:2023-04-27 Published:2024-01-25

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摘要： 总结1例新型冠状病毒感染并发严重横纹肌溶解及多脏器功能损害患者的护理体会。针对新型冠状病毒感染急性期肺部感染导致的呼吸困难、多脏器功能损害、活动无耐力及ICU综合征等护理问题,采取针对性病因治疗、连续性肾脏替代治疗联合俯卧位通气策略、早期康复、心理支持等措施。患者于第60天病情好转后转入呼吸科继续治疗,入院第78天康复出院。

关键词: 新型冠状病毒肺炎, 横纹肌溶解, 多器官功能损害, 危重症护理

Abstract: To summarize the nursing experience of one patient with severe rhabdomyolysis and multiple organ failure caused by a novel coronavirus infection. Due to the acute stage of COVID-19 leading to dyspnea,multiple organ failure,activity intolerance,ICU syndrome,and other nursing problems,targeted etiological treatment,continuous renal replacement therapy（CRRT） combined with prone ventilation strategy,early rehabilitation,psychological support,and other measures were adopted. After his condition improved on the 60th day,the patient was transferred to the respiratory department for further treatment and was discharged on the 78th day of admission.

Key words: Novel Coronavirus Pneumonia, Rhabdomyolysis, Multiple Organ Failure, Critical Care Nursing