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
急症护理研究

重度胡蜂蜇伤致多器官功能障碍综合征患者的护理

  • 吕敏芳 ,
  • 吴徐红 ,
  • 陈晓娟 ,
  • 汪婧 ,
  • 陈志达
展开
  • 310000 杭州市 浙江大学医学院附属第二医院肾脏内科(吕敏芳,陈晓娟,汪婧,陈志达);浙江省中山医院肾脏内科(吴徐红)
吕敏芳:女,硕士,副主任护师,护士长,E-mail:zrlmf@zju.edu.cn

收稿日期: 2024-12-11

  网络出版日期: 2025-07-04

Nursing care for a patient with severe wasp sting-induced multiple organ dysfunction syndrome

  • Lü Minfang ,
  • WU Xuhong ,
  • CHEN Xiaojuan ,
  • WANG Jing ,
  • CHEN Zhida
Expand

Received date: 2024-12-11

  Online published: 2025-07-04

摘要

总结1例重度胡蜂蜇伤致多器官功能障碍综合征患者的护理体会。针对患者被大量胡蜂蜇伤短时间内出现肝肾及血液系统损害、病情进展迅速、需维持内环境稳定、防止器官功能恶化等问题,采取早期清除毒物,制订最佳血液净化及抗凝方案;动态监测多器官功能指标,实施有效措施保护靶器官;优化营养方案,促进组织器官功能恢复;采用中医手法改善睡眠,促进组织修复等措施。经过12 d精心治疗及护理,患者好转出院。

本文引用格式

吕敏芳 , 吴徐红 , 陈晓娟 , 汪婧 , 陈志达 . 重度胡蜂蜇伤致多器官功能障碍综合征患者的护理[J]. 中华急危重症护理杂志, 2025 , 6(7) : 846 -849 . DOI: 10.3761/j.issn.2096-7446.2025.07.013

Abstract

To summarize the nursing experience of a patient with severe wasp sting-induced multiple organ dysfunction syndrome. A patient suffered from severe wasp stings in a short period of time,which led to rapid liver,kidney,and hematological system damage,and rapid disease progression,needed to maintain stable internal environment,and prevent organ function deterioration. The following measures were taken,including the early removal of toxins,development of an optimal blood purification and anticoagulation regimen,dynamic monitoring of multi-organ function indicators and implementation of effective measures to protect target organs,optimization of the nutrition plan to promote tissue and organ function recovery,and application of traditional Chinese medicine techniques to improve sleep and promote tissue repair. After 12 days of meticulous treatment and nursing care,the patient improved and was discharged from the hospital.

参考文献

[1] Seecheran RV, Ramdin R, Singh S, et al. Africanized honey bee sting-induced stress-related cardiomyopathy:a bee or octopus trap[J]. Cureus, 2021, 13(7):e16681.
[2] 刘振忠. 胡蜂蛰伤发生多器官功能障碍综合征的危险因素分析[J]. 中国现代医生, 2022,(31):68-72.
  Liu ZZ. Risk factors of multiple organ dysfunction syndrome in wasp stings[J]. China Mod Dr, 2022,(31):68-72.
[3] 张彬, 何娅妮. 蜂蛰伤导致急性肾损伤的防治[J]. 中华肾病研究电子杂志, 2019, 8(1):38-40.
  Zhang B, He YN. Prevention and treatment of acute kidney injury caused by bee stings[J]. Chin J Kidney Dis Investig Electron Ed, 2019, 8(1):38-40.
[4] 董芳红, 郭晓纲, 任超英. 高龄急性冠状动脉综合征患者行旋磨支架植入术后并发症的观察和护理[J/OL]. 中华危重症医学杂志(电子版), 2021, 14(1):83-85.
  Dong FH, Guo XG, Ren CY. Observation and nursing care of complications after rotary stent implantation in elderly patients with acute coronary syndrome[J/OL]. Chin J Crit Care Med Electron Ed, 2021, 14(1):83-85.
[5] 张泽奎, 杜刚, 蒲鹏. 重度颅脑损伤患者CT像计分与GSC评分的相关性及其临床预后预测价值初探[J]. 中国CT和MRI杂志, 2020, 18(1):22-24,47.
  Zhang ZK, Du G, Pu P. Exploration on correlation between CT image score and Glasgow coma scale(GSC) in patients with severe craniocerebral injury and its predictive value of clinical prognosis[J]. Chin J CT MRI, 2020, 18(1):22-24,47.
[6] 汪旭, 张劲松, 唐宁, 等. 蜂蛰伤严重程度相关因素的评估与分析[J/OL]. 中华危重症医学杂志(电子版), 2021, 14(4):275-280.
  Wang X, Zhang JS, Tang N, et al. Assessment and analysis of risk factors for severity of wasp sting[J/OL]. Chin J Crit Care Med(Electron Ed), 2021, 14(4):275-280.
[7] 中国毒理学会中毒与救治专业委员会, 中华医学会湖北省急诊医学分会, 湖北省中毒与职业病联盟. 胡蜂螫伤规范化诊治中国专家共识[J]. 中华危重病急救医学, 2018, 30(9):819-823.
  Poisoning and Treatment Committee of Chinese Toxicology Association, Emergency Medicine Branch of Hubei Provincial Medical Association, Hubei Provincial Alliance for Poisoning and Occupational Diseases. Chinese expert consensus on standardized diagnosis and treatment of vespa stings[J]. Chin Crit Care Med, 2018, 30(9):819-823.
文章导航

/