1例Ⅳ度骨髓抑制患者并发脓毒症性休克的护理

Nursing care of a patient with grade Ⅳ myelosuppression complicated with septic shock

总结1例Ⅳ度骨髓抑制患者并发脓毒症性休克的护理经验。护理要点:脓毒症性休克的急救护理;紧急切开未成熟脓肿,超声引导下加强脓腔冲洗,预防并发症的发生;改良全环境保护隔离;根据血糖变化规律动态调整血糖管理策略。经过系统的救治和精细化的护理,患者9 d后病情稳定,转至普通病房继续接受治疗。

To summarize the nursing experience of a patient with gradeⅣmyelosuppression complicated with septic shock.The key points of nursing included the prompting of cooperation with the first aid of septic shock,the close monitoring of infection indicators,the timely assisting for doctors to perform perianal abscess incision beside the bed,the accurate judge and thorough flushing of the abscess cavity under ultrasound guidance,the maintenance of effective drainage,giving patients improved total environmental protection quarantine measures,and the dynamical adjustment of blood glucose management strategies according to the changes of blood glucose.After systematic treatment and meticulous nursing,the patient was in stable condition after 9 days and transferred to the general ward for further treatment.