新型布尼亚病毒感染伴血小板减少综合征患者的急救护理

doi:10.3761/j.issn.2096-7446.2023.02.010

Abstract

Abstract: This case study summarized the emergency nursing experience of a patient with fever combined with thrombocytopenia syndrome caused by novel bunyavirus infection. The nurses traced the history in detail for the unknown cause of the disease,and rapidly improved virological examination to diagnose suspected pathogens. Emergency platelets transfusion,prevention and monitoring of bleeding complications,stop of all possible transmission routes and comprehensive measures to prevent cross infection were taken. After 21 hours of multidisciplinary emergency treatment and precise nursing,the patient was successfully transferred to ICU for further treatment and later transferred to the other hospital for rehabilitation.

Key words: Severe Fever with Thrombocytopenia Syndrome, Emergency Nursing, Platelet Transfusion, Infection Control, Cross Infection

ZHANG Guowen, WANG Sa, LIN Wenfeng, SUN Liqin, CHENG Baozhen, WU Zuojia, CHEN Fang. Emergency nursing of a patient with thrombocytopenia syndrome caused by novel bunya virus infection[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(2): 143-146.

References

[1] 韩常新,孙艾军,蒲春文,等. 新型布尼亚病毒感染致发热伴血小板减少综合征的流行病学特征及预后影响指标分析[J]. 中华医院感染学杂志,2019,29(2):171-174,187.
Han CX,Sun AJ,Pu CW,et al.Epidemiological characteristics of severe fever with thrombocytopenia syndrome caused by novel bunyavirus infection and influencing factors for prognosis[J]. Chin J Nosocomiology,2019,29(2):171-174,187.
[2] Luo LM,Zhao L,Wen HL,et al.Haemaphysalis longicornis ticks as reservoir and vector of severe fever with thrombocytopenia syndrome virus in China[J]. Emerg Infect Dis,2015,21(10):1770-1776.
[3] Jiang XL,Zhang S,Jiang M,et al.A cluster of person-to-person transmission cases caused by SFTS virus in Penglai,China[J]. Clin Microbiol Infect,2015,21(3):274-279.
[4] 周诗君,夏国美,贺腾飞,等. 新型布尼亚病毒感染患者临床特征及其预后因素分析[J]. 安徽医科大学学报,2021,56(6):942-947.
Zhou SJ,Xia GM,He TF,et al.Clinical characteristics and prognostic factors of patients infected with novel Bunyavirus[J]. Acta Univ Med Anhui,2021,56(6):942-947.
[5] Zhan JB,Wang Q,Cheng J,et al.Current status of severe fever with thrombocytopenia syndrome in China[J]. Virol Sin,2017,32(1):51-62.
[6] 赵晓玲,李松琴,刘波,等. 15例新型布尼亚病毒感染患者的护理[J]. 中华护理杂志,2012,47(2):123-124.
Zhao XL,Li SQ,Liu B,et al.Nursing care of 15 patients infected by novel Bunyavirus[J]. Chin J Nurs,2012,47(2):123-124.
[7] 徐瑞瑞,李军,朱传龙. 新型布尼亚病毒感染研究进展[J]. 内科急危重症杂志,2019,25(3):177-180.
Xu RR,Li J,Zhu CL.Advances in severe fever with thrombocytopenia syndrome bunyavirus infection[J]. J Crit Care Intern Med,2019,25(3):177-180.
[8] 国务院应对新型冠状病毒肺炎疫情联防联控机制医疗救治组. 医疗机构新型冠状病毒核酸检测工作手册(试行第二版)[J]. 中国病毒病杂志,2021(3):163-167.
Medical Treatment Group of the State Council for COVID Prevention Control System. Working manual of novel coronavirus nucleic acid detection for medical institutions(second trial edition)[J]. Chin J Viral Dis,2021(3):163-167.
[9] 付小霞,米元元,张淑梅,等. 重大传染病疫情标本采集技术的最佳证据总结[J]. 护理学报,2021,28(14):26-34.
Fu XX,Mi YY,Zhang SM,et al.Summary of the best evidence of specimen collection techniques for major infectious diseases[J]. J Nurs China,2021,28(14):26-34.
[10] 彭叶叶,杨丽,马荣莉,等. 1例新型布尼亚病毒感染并发癫痫及多系统功能障碍的护理体会[J]. 中国临床神经外科杂志,2020,25(9):637-638.
Peng YY,Yang L,Ma RL,et al.Nursing care of epilepsy and multiple system dysfunction by novel Bunya virus infection:a case study[J]. Chin J Clin Neurosurg,2020,25(9):637-638.
[11] 蒋云,黄霜霞,崔妙玲,等. 格拉斯哥昏迷评分微课设计及应用研究[J]. 中华急危重症护理杂志,2022,3(2):152-156.
Jiang Y,Huang SX,Cui ML,et al.Design and application of micro-course for Glasgow Coma Scale score[J]. Chin J Emerg Crit Care Nurs,2022,3(2):152-156.
[12] 卫生部,总后勤部卫生部[编]. 临床护理实践指南[M]. 北京:人民军医出版社,2011:97-98.
Ministry of Health,General Logistics Department of the China PLA. Guidelines for clinical nursing practice[M]. Beijing:People's Military Medical Press,2011:97-98.
[13] 金静芬,封秀琴,周文华,等. 呼吸道传染病预防控制急诊护理专家共识[J]. 中华急危重症护理杂志,2020,1(4):371-375.
Jin JF,Feng XQ,Zhou WH,et al.Expert consensus on emergency nursing for prevention and control of respiratory infection diseases[J]. Chin J Emerg Crit Care Nurs,2020,1(4):371-375.
[14] 邹晨,张泽伟,杨丽君,等. 1例体外膜肺氧合辅助非体外循环下患儿行冠状动脉去顶手术的护理配合[J]. 中华护理杂志,2021,56(1):120-123.
Zou C,Zhang ZW,Yang LJ,et al.Nursing cooperation in a case of extracorporeal membrane oxygenation assisted off-pump coronary unroofing surgery in children[J]. Chin J Nurs,2021,56(1):120-123.
[15] 李玲,李萍,张秀敏,等. 科学防控新型冠状病毒肺炎发热门诊管理实践[J]. 新疆医学,2020,50(10):1091-1094.
Li L,Li P,Zhang XM,et al.Scientific prevention and control of COVID-19 fever outpatient management practice[J]. Xinjiang Med J,2020,50(10):1091-1094.

Emergency nursing of a patient with thrombocytopenia syndrome caused by novel bunya virus infection

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	YANG Muying, FAN Wenqi, HU Han. Early identification and emergency nursing of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 704-706.
[2]	DING Youya, WANG Sa, YAN Danping, ZHOU Shuaishuai, WU Zuojia, WANG Yuwei. Nursing care of a patient with refractory hypokalemia caused by methanol poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 447-449.
[3]	CHEN Zhaofei, WANG Wei, ZHAI Zhenguo. Implementation and quality control of an integrated prevention and management strategy for venous thromboembolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 274-278.
[4]	YU Yanuo, SONG Yuhang, GAO Lingjie, LI Xiaobo. The application of clinical decision support system in emergency triage management：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 306-311.
[5]	GAO Binbing, WANG Sa, ZHOU Shuaishuai, ZHANG Yukun, WANG Yuwei. Emergency nursing of a patient with cardiac arrest caused by pulmonary embolism complicated by ruptured hepatic hemangioma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 315-318.
[6]	XIA Zhiyuan, HE Jia, WANG Lixing, SHI Yirong, YANG Min, WANG Xun, HUANG Yanmei, LI Zhiyan, ZHANG Li. Interagency collaboration and emergency nursing care for patients with Gelsemium elegans group poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 77-79.
[7]	YUAN Cui, XIAO Yanyan, CHEN Kaisheng, WANG Fang, WANG Yi, HU Meihua, YAO Xi, WANG Dongxin, LI Shuangling. The effect of preventive contact isolation cluster measures on the prevention of multidrug-resistant organisms in ICU patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1106-1111.
[8]	YANG Xiaohua, SUN Ting, WANG Ping, YAO Meiqi. Emergency treatment and warning for an elderly patient with severe hyponatremia caused by excessive water intake：a case report [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 995-997.
[9]	SI Tong, ZHOU Yong, WANG Shuang. Clinical characteristics and prevention of neurological symptoms induced by overhydration based on cases：from a physician’s perspective [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 998-1002.
[10]	ZHOU Huiyun, LUO Feixiang, SHEN Fei. Nursing of prone position ventilation under extracorporeal membrane oxygenation in a premature infant with acute respiratory distress syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 826-829.
[11]	CHEN Peng. Research progress of end tidal carbon dioxide monitoring in patients undergoing cardiopulmonary resuscitation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 891-896.
[12]	ZHOU Jun, CHEN Ruan, ZHU Jihua. Nursing care of a child with refractory mycoplasma pneumonia complicated with right ventricular thrombosis and pulmonary embolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 700-703.
[13]	YANG Lin, LI Zhengrong, XU Yuting. Nursing of a patient with severe pelvic and abdominal abscess caused by fallopian tube and ovarian inflammation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 704-706.
[14]	WANG Sa, YAN Danping, LIU Yajie, ZHOU Shuaishuai, WANG Meiling, LIN Gaoxing, XU Shurong, ZHOU Guangju, WANG Yuwei. Neuro-monitoring and nursing management practice during the low perfusion period in emergency cardiac arrest patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 713-718.
[15]	LU Dianxia, MEI Yiju, CHEN Yu, CHEN Yuyue, WANG Ji, CAO Xueting, ZHANG Jinsong. Nursing care of a patient with severe frostbite caused by staying overnight in the wilderness after binge drinking in southern China [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 573-575.