摘要
目的 和方法 "镜面人"是先天性发育畸形,表现为部分或全部内脏沿身体纵轴反向排列,目前尚无关于"镜面人"临床治疗时其生理结构异常对各项监测结果造成影响的报道.结果 和结论 天津市第五中心医院重症监护病房(ICU)2021年7月收治1例重度烧伤"镜面人"患者.入科后经查体和实验室检查诊断为全身多处火焰烧伤、呼吸道烧伤、复合伤、多发伤、低温症、创伤性休克、全身多发皮裂伤、应激性高血糖和创伤性凝血功能障碍.经个体化、目标性、精准液体复苏、早期机体复温、维持组织供氧、控制感染、保护创面、镇痛镇静、早期营养支持、纠正电解质紊乱及预防并发症、心理护理等治疗10 d后,患者病情平稳,创面愈合良好转出ICU,继续治疗33 d后出院.总结该例患者的救治经验,以期为"镜面人"重症患者治疗和护理提供借鉴.
Objective and Method"Mirror Man"refers to a congenital developmental deformity,which is characterized by the reverse arrangement of some or all internal organs along the longitudinal axis of the body.At present,there is no report about the influence of abnormal physiological structure of"Mirror Man"on various monitoring results during clinical practice.Results and Conclusion In July 2021,the intensive care unit(ICU)of Tianjin Fifth Center Hospital admited a"Mirror Man"with severe burns.After admission,the physical examination and laboratory results revealed multiple flame burns,respiratory tract burns,muliple injuries,hypothermia,traumatic shock,stress hyperglycemia and traumatic coagulation dysfunction.This paper summarizes the treatments of the"Mirror Man",including individualized,targeted and precise fluid resuscitation,early body rewarming,tissue oxygen supply maintenance,infection control and wound protection,analgesia and sedation,early nutritional support,correction of electrolyte disorder,complications prevention,and psychological nursing,in order to provide reference for the treatment and nursing of critically ll"Mirror Man".
作者
白丽丽
滕洪云
侯晓明
刘会新
井淑涛
Bai Lili;Teng Hongyun;Hou Xiaoming;Liu Huixin;Jing Shutao(Department of Critical Care Medicine,the Fifth Center Hospital in Tianjin,Tianjin 300450,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2022年第3期368-370,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
