首页|1例中央轴空病伴恶性高热易感患者的围麻醉期护理管理

1例中央轴空病伴恶性高热易感患者的围麻醉期护理管理

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总结 1 例中央轴空病(central core disease,CCD)伴恶性高热易感(malignant hyperthermia susceptibil-ity,MHS)患者行脊柱侧弯矫形术的围麻醉期护理管理经验。护理管理要点:通过术前多学科讨论,麻醉护士与麻醉医生一起制定防治围术期恶性高热(malignant hyperthermia,MH)的预案,学习MH的临床表现及处理原则,建立详细的物品准备清单及人员分工,完善术前准备。通过麻醉护士在麻醉前、中、后与麻醉医生、外科医生及手术室护士协同合作,本例患者手术顺利,术中、术后未发生MH,术后随访半年,患者情况稳定,无严重术后并发症发生。
Perioperative anesthetic nursing for a central core disease patient with malignant hyperthemia susceptibility
Care management experience ofthe perioperative anesthetic in a patient with central core disease(CCD)combined malignant hyperthermia(MHS)undergoing scoliosis orthopedic surgery was summarized.The points of nursing management wereas followed:Through multi-disciplinary discussions before surgery,the anesthet-ic nurses worked with the anesthesiologists to formulate a plan to prevent and treat malignant hyperthermia(MH)during the perioperative period,learned the clinical manifestations and treatment principles of malignant hyperther-mia,established a detailed list of item preparation and personnel division of labor,and improved preoperative prepa-rations.The anesthetic nurses collaborated with the anesthesiologists,surgeons,and operating room nurses before,during,and after anesthesia ensured that the patient's surgery was smooth,without MH during and after surgery.The patient was followed up for half a year after surgery,and the condition was stable without serious postoperative complications.

malignant hyperthermia susceptibilitymalignant hyperthermiacentral core diseasescolio-sis orthopedic surgeryperioperative anesthesiaanesthesia nursenursing

王洁茹、黄朝旭、画妍

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空军军医大学第一附属医院麻醉科,陕西西安 710032

空军军医大学护理系,陕西西安 710032

恶性高热易感 恶性高热 中央轴空病 脊柱侧弯矫形术 围麻醉期 麻醉护士 护理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(11)