摘要报道1例抗N-甲基-M-天冬氨酸受体脑炎患儿行腹腔镜卵巢畸胎瘤剔除术中护理经验。充分做好术前访视准备,术中器械护士严格执行无菌、无瘤技术操作,注意标本收集、避免交叉感染;巡回护士严格控制气腹压力,重视术中患儿体温管理及参观人员的管理。本例患儿行腹腔镜卵巢畸胎瘤剔除术,手术顺利,术中出血量100 m L,手术时间50 min,术后安返病房。
4Iizuka T,Sakai F.Anti-NMDA receptor encephalitis in Japan:long-term outcome without tumor removal[J].Neurology,2008,70(7):504-511.
5Iizuka T,Sakai F.Update on anti-NMDA receptor encephalitis[J].Brain Nerve,2010,62(4):331-338.
6Forrest D,Yuzaki M,Soares HD,et al.Targeted disruption of NMDA receptor 1 gene abolishes NMDA response and results in neonatal death[J].Neuron,1994,13:325-338.
7Dalmau J,Gleichman AJ.Anti-NMDA-receptor encephalitis:case series and analysis of the effects of antibodies[J].Lancet Neurol,2008,7(12):1091-1098.
8Ishiura H,Matsuda S.Response of anti-NMDA receptor encephalitis without tumor to immunotherapy including rituximab[J].Neurology,2008,71(23):1921-1923.
9Whitley RJ.Herpes simp lex encephalitis:adolescents and adults[J].Antiviral Res,2006,71(2-3):141 -148.
10Chong JY,Rowland LP,Utiger RD.Hashimoto encephalo-pathy.Syndrome or myth?[J].Arch Neurol,2003,60:164-171.
