11例糖尿病酮症酸中毒昏迷患者合并重症急性胰腺炎的护理

Nursing care of 11 patients with severe acute pancreatitis and diabetic coma caused by diabetic ketoacidosis

总结11例糖尿病酮症酸中毒昏迷合并重症急性胰腺炎患者的病情观察要点和护理经验.护理要点包括:早期充分的液体复苏,预防并发症发生;纠正内环境紊乱、维持血糖稳定;早期提供营养支持;实施心理护理并给予健康指导.11例患者经过积极抢救与精心护理,未出现严重并发症,血糖控制平稳,电解质紊乱得到纠正,营养状况良好,情绪稳定,15~20 d病情稳定后出院.

To summarize the key points of observation and nursing care of 11 patients with severe acute pancreatitis and coma caused by diabetic ketoacidosis.To improve prognosis of the disease and guarantee patients’safety,key points of nursing are summarized as following:sufficient early liquid resuscitation to avoid complications;correcting internal environment disorder and maintaining blood glucose homeostasis;providing early nutritional support;implementing psychological nursing care and health education.As a result,11 patients were in stable conditions after positive rescue and careful nursing care.They were discharged after 15~20 days.