To summarize the nursing experience of a patient with diabetic ketoacidosis complicated with stress cardiomyopathy leading to acute circulatory failure and received extracorporeal membrane oxygenation combined with continuous renal replacement therapy after extracorporeal cardiopulmonary resuscitation. In view of the atypical symptoms of chest pain and the rapid progress of the disease at the onset of the disease,extracorporeal cardiopulmonary resuscitation should be initiated as soon as possible and nursing cooperation should be performed under the premise of maintaining the stability of the patient's internal environment,coagulation disorders was identified and nursing care was provided. For the patients with unstable circulation and contradictions of turning over,predictive prevention of pressure injuries was performed,and early rehabilitation exercises were implemented in patients with stable circulation in different disease stages. After 25 days of treatment and nursing,the patient was stable and discharged. After 2 months of follow-up,the patient was in good condition.
ZHANG Shuai
,
CHEN Juanhong
,
YAO Huiping
. Nursing care of a patient with diabetic ketoacidosis complicated with acute circulatory failure caused by stress cardiomyopathy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023
, 4(4)
: 353
-355
.
DOI: 10.3761/j.issn.2096-7446.2023.04.016
[1] Napp LC,Bauersachs J.Takotsubo syndrome:between evidence,myths,and misunderstandings[J]. Herz,2020,45(3):252-266.
[2] 郑丽丽,陈秀青. 应激性心肌病患者行冠状动脉及左心室造影后严重并发症的观察与护理[J]. 护理与康复,2016,15(6):557-559.
Zheng LL,Chen XQ.Observation and nursing of severe complications after coronary and left ventricular angiography in pa-tients with stress cardiomyopathy[J]. J Nurs Rehabil,2016,15(6):557-559.
[3] 张欢,彭勇,廖雪莲. 重症患者应激性心肌病的常见病因及诊治原则[J]. 临床内科杂志,2022,39(2):80-83.
Zhang H,Peng Y,Liao XL.Pathophysiology,diagnosis and management of stress cardiomyopathy in the critically ill[J]. J Clin Intern Med,2022,39(2):80-83.
[4] El-Battrawy I,Santoro F,Stiermaier T,et al.Prevalence,management,and outcome of adverse rhythm disorders in takotsubo syndrome:insights from the international multicenter GEIST registry[J]. Heart Fail Rev,2020,25(3):505-511.
[5] Lyon AR,Bossone E,Schneider B,et al.Current state of knowledge on Takotsubo syndrome:a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology[J]. Eur J Heart Fail,2016,18(1):8-27.
[6] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志,2018,38(4):292-344.
Diabetes Branch of Chinese Medical Association. Guidelines for the prevention and control of type 2 diabetes in China(2017 Edition)[J]. Chin J Pract Intern Med,2018,38(4):292-344.
[7] 贾志毅,张浩,李文静,等. 应激性心肌病诊断与治疗进展[J]. 实用心脑肺血管病杂志,2022,30(6):1-6.
Jia ZY,Zhang H,Li WJ,et al.Progress in the diagnosis and treatment of stress cardiomyopathy[J]. Pract J Cardiac Cereb Pneumal Vasc Dis,2022,30(6):1-6.
[8] 中华医学会急诊医学分会复苏学组,成人体外心肺复苏专家共识组. 成人体外心肺复苏专家共识[J]. 中华急诊医学杂志,2018,27(1):22-29.
Resuscitation Group of Emergency Medicine Branch of Chinese Medical Association,Adult Extracorporeal Cardiopulmonary Resuscitation Expert Consensus Group. Adult extracorporeal cardiopulmonary resuscitation expert Consensus[J]. Chin J of Emerg Med,2018,27(1):22-29.
[9] Perkins GD,Olasveengen TM,Maconochie I,et al.European resuscitation council guidelines for resuscitation:2017 update[J]. Resuscitation,2018,123:43-50.
[10] 贾雪萍,曾磊,杨红晓,等. 体外膜肺氧合联合连续性肾脏替代治疗患者的护理[J]. 中华急危重症护理杂志,2022,3(1):89-91.
Jia XP,Zeng L,Yang HX,et al.Nursing care of a patient treated by extracorporeal membrane oxygenation combined with continuous renal replacement therapy[J]. Chin J Emerg Crit Care Nurs,2022,3(1):89-91.
[11] 王钰炜,周帅帅,林高兴,等. 创伤性心搏骤停患者应用体外膜肺氧合治疗的急救护理[J]. 中华急危重症护理杂志,2021, 2(1):87-90.
Wang YW,Zhou SS,Lin GX,et al.Emergency care of a patient with traumatic cardiac arrest by extracorporeal membrane oxygenation[J]. Chin J Emerg Crit Care Nurs,2021,2(1):87-90.
