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

doi:10.3761/j.issn.2096-7446.2025.09.013

Abstract

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.

Key words: Chylemia, Severe Acute Pancreatitis, Hemodiafiltration, Hemoperfusion, Critical Care Nursing

GUO Jing, JIN Jin, WANG Xinran. Care of a patient with hypertriglyceridemia induced acute pancreatitis undergoing continuous renal replacement therapy combined with hemosorption[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1100-1102.

References 8

[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. doi: 10.1016/j.jacl.2012.08.007 pmid: 23009781
[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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Care of a patient with hypertriglyceridemia induced acute pancreatitis undergoing continuous renal replacement therapy combined with hemosorption

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