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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2024; 6: (7) ; 10.12208/j.ijnr.20240171 .

Nursing care of a patient with severe hyperlipidemia pancreatitis who received combined blood purification therapy
1例重症高脂血症性胰腺炎患者行联合血液净化治疗的护理

作者: 马俊 *, 班羽薇, 边凯欣, 陈炜, 沈花

上海市同仁医院 上海

*通讯作者: 马俊,单位:上海市同仁医院 上海;

引用本文: 马俊, 班羽薇, 边凯欣, 陈炜, 沈花 1例重症高脂血症性胰腺炎患者行联合血液净化治疗的护理[J]. 国际护理学研究, 2024; 6: (7) : 72-75.
Published: 2024/7/28 14:40:53

摘要

给予高脂血症性胰腺炎患者行血液净化治疗,可达到降低血脂水平、缓解病情的目的。但是在实际治疗过程中,部分患者可能出现凝血导致非计划下机或抗凝药物过敏情况;钾、钠、钙等电解质的失衡,血流动力学不稳定,增加安全风险。因此,需要重视高脂血症性胰腺炎行血液净化治疗的护理研究,提高护理效果,为患者血液净化治疗提供保障。文中总结1例高脂血症性胰腺炎行血液净化治疗的护理经验。对高脂血症高凝状态患者予避免体外循环凝血,预防发生并发症等护理措施,患者在血液净化治疗期间,未出现不良反应及并发症,最终好转出院。

关键词: 血液净化;高脂血症性胰腺炎;护理

Abstract

Providing blood purification therapy to patients with hyperlipidemic pancreatitis can achieve the goal of reducing blood lipid levels and alleviating the condition. However, in the actual treatment process, some patients may experience unplanned withdrawal or allergy to anticoagulant drugs due to coagulation; Imbalance of electrolytes such as potassium, sodium, and calcium leads to hemodynamic instability and increases safety risks. Therefore, it is necessary to pay attention to nursing research on blood purification treatment for hyperlipidemic pancreatitis, improve nursing effectiveness, and provide guarantees for patients' blood purification treatment. The article summarizes the nursing experience of blood purification treatment for a case of hyperlipidemic pancreatitis. Nursing measures such as avoiding extracorporeal circulation coagulation and preventing complications were taken for patients with hyperlipidemia and hypercoagulability. During the blood purification treatment, the patient did not experience any adverse reactions or complications and ultimately improved and was discharged.

Key words: Blood purification; Hyperlipidemic pancreatitis; Nurse

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