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 ›› 2025, Vol. 6 ›› Issue (7): 843-845.doi: 10.3761/j.issn.2096-7446.2025.07.012

• 急症护理研究 • 上一篇    下一篇

急性心肌梗死伴血糖正常型糖尿病酮症酸中毒合并脑出血患者的护理

邹双(), 宋剑平(), 陈海莲, 郑琳琳   

  1. 310009 杭州市 浙江大学医学院附属第二医院护理部
  • 收稿日期:2024-12-22 出版日期:2025-07-10 发布日期:2025-07-04
  • 通讯作者: 宋剑平 E-mail:2614238@zju.edu.cn;zrxwk1@zju.edu.cn
  • 作者简介:邹双：女，本科（硕士在读），主管护师，E-mail：2614238@zju.edu.cn
  • 基金资助:
    国家自然科学基金重点项目(82030014)

Nursing care of a patient with acute myocardial infarction with euglycemic diabetic ketoacidosis complicated with cerebral hemorrhage

ZOU Shuang(), SONG Jianping(), CHEN Hailian, ZHENG Linlin   

  • Received:2024-12-22 Online:2025-07-10 Published:2025-07-04
  • Contact: SONG Jianping E-mail:2614238@zju.edu.cn;zrxwk1@zju.edu.cn

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摘要：

总结1例急性心肌梗死伴血糖正常型糖尿病酮症酸中毒合并脑出血患者的护理体会。针对患者发病症状不典型、疾病高风险性及血糖正常型糖尿病酮症酸中毒的罕见性等特征，采取观察与鉴别不典型症状、系统评估锁定酮症风险、目标导向控制血糖、精细化补液管理、纠正内环境紊乱、评估血栓及出血风险、应用情绪ABC管理理论实施心理护理等措施。经过16 d的综合治疗及精心护理，患者病情平稳，情绪良好，顺利出院。

关键词: 急性心肌梗死, 糖尿病酮症酸中毒, 脑出血, 危重病护理

Abstract:

To summarize the nursing experience of a case of acute myocardial infarction with euglycemic diabetic ketoacidosis complicated with cerebral hemorrhage. According to the characteristics of atypical symptoms，high risk of the disease and rarity of euglycemic diabetic ketoacidosis，measures such as observation and identification of atypical symptoms，systematic evaluation of the risk of ketosis，goal-oriented control of blood glucose，refined fluid management，correction of internal environment disorders，assessment of thrombi and bleeding risk，psychological nursing with emotional ABC management theory were adopted. After 16 days of comprehensive treatment and careful nursing，the patient’s condition was stable with good mood and discharged.

Key words: Acute Myocardial Infarction, Diabetic Ketoacidosis, Cerebral Hemorrhage, Critical Care Nursing