总结1例特发性脊柱侧弯患者术后并发恶性高热的护理体会。针对早期如何识别及处理恶性高热、如何管理体温及呼气末二氧化碳分压、如何正确使用丹曲林钠以及避免横纹肌溶解进展等问题。采取及早控制体温,持续监测核心体温及呼气末二氧化碳分压,合理使用丹曲林钠、监测肌酸激酶、碱化尿液等措施。经过11 d的治疗与护理,成功撤离呼吸机,转回病房治疗,并在术后第20天出院,出院随访3个月,患者状况良好。

To summarize the nursing experience of one case of idiopathic scoliosis complicated with malignant hyperthermia after operation. It aimed at the problems of how to recognize and treat malignant hyperthermia,how to manage body temperature and end-expiratory carbon dioxide partial pressure,how to use dantrolene sodium correctly and avoid the development of rhabdomyolysis. We controlled body temperature as early as possible,continuously monitored core body temperature and end-expiratory carbon dioxide pressure,used dantrolene sodium rationally,monitored creatine kinase and implemented alkalization of urine and other measures. After 11 days of treatment and nursing,the patients were successfully removed from the ventilator and transferred back to the ward for treatment. He was discharged successfully 20 days after the operation. He was followed up for 3 months after discharge and his condition was good.