To summarize the nursing experience of one patient with severe rhabdomyolysis and multiple organ failure caused by a novel coronavirus infection. Due to the acute stage of COVID-19 leading to dyspnea,multiple organ failure,activity intolerance,ICU syndrome,and other nursing problems,targeted etiological treatment,continuous renal replacement therapy（CRRT） combined with prone ventilation strategy,early rehabilitation,psychological support,and other measures were adopted. After his condition improved on the 60th day,the patient was transferred to the respiratory department for further treatment and was discharged on the 78th day of admission.
XIE Pailing
,
YUAN Shuaishuai
,
LIU Fengqing
,
LIAN Subing
. Nursing of a patient with severe pneumonia complicated by severe rhabdomyolysis and multiple organ failure[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(1)
: 61
-64
.
DOI: 10.3761/j.issn.2096-7446.2024.01.012
[1] Gavriatopoulou M,Korompoki E,Fotiou D,et al.Organ-specific manifestations of COVID-19 infection[J]. Clin Exp Med,2020,20(4):493-506.
[2] Stahl K,Rastelli E,Schoser B.A systematic review on the definition of rhabdomyolysis[J]. J Neurol,2020,267(4):877-882.
[3] Haroun MW,Dieiev V,Kang J,et al.Rhabdomyolysis in COVID-19 patients:a retrospective observational study[J]. Cureus,2021,13(1):e12552.
[4] 王冠珍,姚雅萍,石磊,等. 2079例COVID-19患者主要并发症与基础疾病的关联性分析[J]. 解放军医学院学报,2021,42(5):477-482.
Wang GZ,Yao YP,Shi L,et al.Association between major complications and underlying diseases in COVID-19 patients:an analysis of 2079 cases[J]. Acad J Chin PLA Med Sch,2021, 42(5):477-482.
[5] 《新型冠状病毒肺炎诊疗方案(试行第六版)》解读[J]. 中国医刊,2020,55(3):347-348.
Interpretation of novel coronavirus diagnosis and treatment plan(trial sixth edition)[J]. Chin J Med,2020,55(3):347-348.
[6] Michelsen J,Cordtz J,Liboriussen L,et al.Prevention of rhabdomyolysis-induced acute kidney injury-A DASAIM/DSIT clinical practice guideline[J]. Acta Anaesthesiol Scand,2019,63(5):576-586.
[7] Rojas-Valverde D,Sánchez-Ureña B,Crowe J,et al.Exertional rhabdomyolysis and acute kidney injury in endurance sports:a systematic review[J]. Eur J Sport Sci,2021,21(2):261-274.
[8] Malhotra A. Prone ventilation for adult patients with acute respiratory distress syndrome[EB/OL]. (2021-07-12)[2021-11-28]. https://www.uptodate.cn/contents/zh-Hans/prone-ventilationfor-ad-ult-patients-with-acute-respiratory-distress-syndrome.
