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
重症护理研究

高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理

  • 郭京 ,
  • 靳瑾 ,
  • 王欣然
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  • 100053 北京市 首都医科大学宣武医院普外科监护室
郭京:女,本科,主管护师,E-mail:sudoubao@163.com
王欣然,E-mail:Xwsicu2011@163.com

收稿日期: 2025-02-17

  网络出版日期: 2025-09-02

Care of a patient with hypertriglyceridemia induced acute pancreatitis undergoing continuous renal replacement therapy combined with hemosorption

  • GUO Jing ,
  • JIN Jin ,
  • WANG Xinran
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Received date: 2025-02-17

  Online published: 2025-09-02

摘要

总结1例高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理体会。护理要点:医护一体化,确保联合治疗顺利实施;血浆置换序贯血浆吸附的实施与监护,血浆置换期间预防破膜,有效连接确保序贯血浆吸附的实施;血液透析滤过联合血液灌流在减少血脂回弹的同时预防低血压发生,严格进行容量管理,保护重要脏器功能。经过14 d的治疗护理,患者顺利出院。

本文引用格式

郭京 , 靳瑾 , 王欣然 . 高甘油三酯血症性急性胰腺炎患者行连续性肾脏替代治疗联合血液吸附的护理[J]. 中华急危重症护理杂志, 2025 , 6(9) : 1100 -1102 . DOI: 10.3761/j.issn.2096-7446.2025.09.013

Abstract

To summarize the nursing experience of one case of hypertriglyceridemia induced severe acute pancreatitis patient who underwent continuous renal replacement therapy combined with hemosorption. Nursing points included medical and nursing integration to ensure the smooth implementation of combined treatment;implementation and monitoring of plasma replacement sequential plasma adsorption,prevention of rupture of membranes during plasma replacement,effective connection to ensure the implementation of sequential plasma adsorption;haemodialysis combined with hemoperfusion to reduce lipid rebound while preventing the occurrence of hypotension,and strict volume management to protect the vital organ function. After 14 d of treatment and care,the patient was successfully discharged from the hospital.

参考文献

[1] Tan HLE, McDonald G, Payne A, et al. Incidence and manage-ment of hypertriglyceridemia-associated acute pancreatitis:a prospective case series in a single Australian tertiary centre[J]. J Clin Med, 2020, 9(12):3954.
[2] Christian JB, Arondekar B, Buysman EK, et al. Clinical and economic benefits observed when follow-up triglyceride levels are less than 500 mg/dL in patients with severe hypertrigly-ceridemia[J]. J Clin Lipidol, 2012, 6(5):450-461.
[3] 宏欣, 王立明, 张正良, 等. 高甘油三酯血症性急性胰腺炎诊治急诊专家共识[J]. 中国全科医学, 2021, 24(30):3781-3793.
  Hong X, Wang LM, Zhang ZL, et al. Emergency expert consensus on diagnosis and treatment of hypertriglyceridemic acute pan-creatitis[J]. Chin Gen Pract, 2021, 24(30):3781-3793.
[4] Cao LX, Chen YJ, Liu SY, et al. Early plasmapheresis among patients with hypertriglyceridemia-associated acute pancreatitis[J]. JAMA Netw Open, 2023, 6(6):e2320802.
[5] 李荣, 宋春燕, 唐思妍, 等. 血液吸附及其抗凝技术的研究进展[J]. 临床肾脏病杂志, 2025, 25(4):337-343.
  Li R, Song CY, Tang SY, et al. Research progress of hemad-sorption and its anticoagulation technology[J]. J Clin Nephrol, 2025, 25(4):337-343.
[6] 白浪, 陈煜, 陈源文, 等. 人工肝血液净化技术临床应用专家共识(2022年版)[J]. 临床肝胆病杂志, 2022, 38(4):767-775.
  Bai L, Chen Y, Chen YW, et al. Expert consensus on clinical application of artificial liver and blood purification(2022 edition)[J]. J Clin Hepatol, 2022, 38(4):767-775.
[7] 中国重症血液净化协作组, 中国重症血液净化协作组护理学组. 中国重症血液净化护理专家共识(2021年)[J]. 中华现代护理杂志, 2021, 27(34):4621-32.
  Chinese Critical Care Blood Purification Collaboration Group, Nursing Subgroup of Chinese Critical Care Blood Purification Collaboration Group. Expert consensus on nursing for critical care blood purification in China(2021)[J]. Chin J Mod Nurs, 2021, 27(34):4621-4632.
[8] 毛恩强, 车在前. 《急性胰腺炎急诊诊治专家共识》解读[J]. 临床急诊杂志, 2024, 25(7):325-328.
  Mao EQ, Che ZQ. Interpretation of expert consensus on emer-gency diagnosis and treatment of acute pancreatitis[J]. J Clin Emerg, 2024, 25(7):325-328.
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