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1例假性高甘油三酯血症合并重症急性胰腺炎患者的护理

Nursing care of a patient with pseudo-hypertriglyceridemia and severe acute pancreatitis

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【作者】 王晓玲王凯丽武海珍郑慧君苏伟朱剑萍陈光庄一渝

【Author】 WANG Xiaoling;WANG Kaili;WU Haizhen;ZHENG Huijun;SU Wei;ZHU Jianping;CHEN Guang;ZHUANG Yiyu;Department of Nursing,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University;Department of Critical Care Medicine,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University;Zhejiang Key Laboratory of Precise Diagnosis and Treatment of Abdominal Infection,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University;Department of Pharmacy,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University;Department of Clinical Laboratory,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University;

【通讯作者】 庄一渝;

【机构】 浙江大学医学院附属邵逸夫医院护理部浙江大学医学院附属邵逸夫医院重症医学科浙江大学医学院附属邵逸夫医院省腹腔感染精准诊疗重点实验室浙江大学医学院附属邵逸夫医院药学部浙江大学医学院附属邵逸夫医院检验科

【摘要】 总结1例罕见非甘油激酶缺乏症所致假性高甘油三酯血症合并重症急性胰腺炎患者的护理经验。护理要点:成立多学科个案管理小组;与药剂师协作建立ICU含甘油药物数据库,规范用药管理;密切关注病情变化,早期识别假性高甘油三酯血症并规范管理;开展精细化双重滤过血浆置换护理,观察与处理参数设置、报警和并发症;早期识别腹腔出血并规范管理。经过上述干预,患者腹痛症状缓解,肾功能逐渐恢复,治疗25 d后病情稳定,康复出院。

【Abstract】 To summarize the nursing experience of a rare case of pseudo-hypertriglyceridemia caused by nonglycerol kinase deficiency combined with severe acute pancreatitis. The key nursing points include:establishing a multidisciplinary case management team;collaborating with pharmacists to create an ICU database of glycerolcontaining medications to standardize drug management;closely monitoring disease progression to enable early detection and standardized management of pseudo-hypertriglyceridemia;implementing refined nursing care for double filtration plasmapheresis nursing,observe and handle parameter settings, alarms, and complications;performing early identification and standardized management of intra-abdominal hemorrhage. After the aforementioned intervention,the patient’s abdominal pain symptoms were alleviated and renal function gradually recovered. After 25 days of treatment,the patient’s condition stabilized and he was discharged from the hospital upon recovery.

  • 【文献出处】 中华护理杂志 ,Chinese Journal of Nursing , 编辑部邮箱 ,2026年01期
  • 【分类号】R473.5
  • 【下载频次】382
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