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

视神经脊髓炎谱系疾病极后区综合征并发呼吸抑制患者的护理

  • 王海燕 ,
  • 董梦 ,
  • 祁学峰 ,
  • 蒋小青 ,
  • 李婷
展开
  • 310009 杭州市 浙江大学医学院附属第二医院护理部
王海燕:女,本科,副主任护师,护士长,E-mail:2189013@zju.edu.cn

收稿日期: 2024-03-08

  网络出版日期: 2025-01-22

Nursing care of a patient with area postrema syndrome of neuromyelitis optica spectrum disorders combined with respiratory depression

  • WANG Haiyan ,
  • DONG Meng ,
  • QI Xuefeng ,
  • JIANG Xiaoqing ,
  • LI Ting
Expand

Received date: 2024-03-08

  Online published: 2025-01-22

摘要

报告1例罕见的视神经脊髓炎谱系疾病极后区综合征并发呼吸抑制患者的护理体会。针对该患者中枢性呼吸抑制、顽固性呃逆呕吐、营养失调、电解质紊乱、焦虑失眠等问题,进行全面的症状管理,包括呼吸抑制的早期发现和机械通气、顽固性呃逆呕吐的对症护理、焦虑与失眠护理,以及大剂量皮质激素的用药护理。患者住院第16天转出ICU,第36天康复出院。

本文引用格式

王海燕 , 董梦 , 祁学峰 , 蒋小青 , 李婷 . 视神经脊髓炎谱系疾病极后区综合征并发呼吸抑制患者的护理[J]. 中华急危重症护理杂志, 2025 , 6(2) : 204 -206 . DOI: 10.3761/j.issn.2096-7446.2025.02.013

Abstract

To summarize the nursing care of a patient with a rare area postrema syndrome of neuromyelitis optica spectrum disorders,combined with respiratory depression. Given the patient’s central respiratory depression,intractable hiccup and vomit,nutritional disorders,electrolyte disorders,anxiety and insomnia,and other problems,comprehensive symptom management was carried out,including early detection of respiratory depression and mechanical ventilation,symptomatic care for intractable hiccup and vomit,care for anxiety and insomnia,as well as medication care of high-dose corticosteroids. The patient was transferred out of the ICU on the 16th day of hospitalization and was discharged on the 36th day of hospitalization.

参考文献

[1] Ma XY, Kermode AG, Hu XQ, et al. Risk of relapse in patients with neuromyelitis optica spectrum disorder:recognition and preventive strategy[J]. Mult Scler Relat Disord, 2020, 46:102522.
[2] 魏宏敏, 于继徐, 车峰远, 等. 两次发作均表现为极后区综合征的视神经脊髓炎谱系疾病1例[J]. 神经损伤与功能重建, 2020, 15(1):61-62.
  Wei HM, Yu JX, Che FY, et al. A case of neuromyelitis optica pedigree disease with extreme posterior region syndrome in both episodes[J]. Neural Inj Funct Reconstr, 2020, 15(1):61-62.
[3] Liu T, Li LJ, Guo XP, et al. Clinical analysis of neuromyelitis optica spectrum disease with area postrema syndrome as the initial symptom[J]. Eur J Med Res, 2022, 27(1):315.
[4] 高倩, 秋爽, 王薇. 以恶心、呕吐起病视神经脊髓炎谱系疾病一例诊治分析[J]. 中华急诊医学杂志, 2019, 28(9):1148-1151.
  Gao Q, Qiu S, Wang W. Diagnosis and treatment of a case of neuromyelitis optica pedigree disease with nausea and vomit-ing[J]. Chin J Emerg Med, 2019, 28(9):1148-1151.
[5] 黄德晖, 吴卫平, 胡学强. 中国视神经脊髓炎谱系疾病诊断与治疗指南(2021版)[J]. 中国神经免疫学和神经病学杂志, 2021, 28(6):423-436.
  Huang DH, Wu WP, Hu XQ. Chinese guideline for diagnosis and treatment of neuromyelitis optica spectrum disorders(2021 Edition)[J]. Chin J Neuroimmunol Neurol, 2021, 28(6):423-436.
[6] 赵娟, 熊建群, 邹小娟, 等. 71例药物诱发/加重重症肌无力的文献分析[J]. 药物流行病学杂志, 2019, 28(3):205-208.
  Zhao J, Xiong JQ, Zou XJ, et al. Literature Analysis of Myas-thenia gravis induced/exacerbated by Drugs[J]. Chin J Pharma-coepidemiol, 2019, 28(3):205-208.
文章导航

/