1例多发性内分泌瘤病并发儿茶酚胺心肌病患者突发心搏骤停的护理

Nursing care of sudden cardiac arrest in a patient with multiple endocrine neoplasia with catecholamine cardiomyopathy

总结1例多发性内分泌瘤病2A型并发儿茶酚胺心肌病患者突发心搏骤停的护理经验。护理主要内容如下:组建多学科团队,制订诊疗方案;减少刺激,避免诱发高血压危象;儿茶酚胺心肌病危象的识别与急救护理;体外膜肺氧合与血液净化生命支持的护理;目标体温管理。患者入院第15天病情稳定,顺利转科继续治疗。

To summarize the nursing experience of a patient with multiple endocrine neoplasia catecholamine cardiomyopathy with sudden cardiac arrest.Key points of nursing care:setting up a multidisciplinary team to formulate diagnosis and treatment plan;reducing stimulation,avoiding inducing hypertensive crisis;recognition and emergency nursing care of catecholamine cardiomyopathy crisis;nursing care of extracorporeal membrane oxygenation and blood purification life support;target temperature management.The patient’s condition was stable on the 15th day of admission and she was successfully transferred to another department for further treatment.