1例中医护理特色技术在脓毒症休克合并胃肠功能障碍的护理报告
Nursing report of a case of septic shock complicated with gastrointestinal dysfunction treated with traditional Chinese medicine nursing technology
目的:总结1例脓毒症休克合并胃肠功能障碍的护理过程,为此类疾病重症患者的护理提供中医的参考思路。方法:通过脓毒症病患者入院经查体、消化检查,循环检查,感染,西医明确诊断脓毒症休克,急性肠胃炎,中医诊断脱病,阳气欲脱、痰浊闭阻证。在整体治疗过程中给予胃肠功能管理,抗感染、补液升压、调节菌群失调,肛周皮肤管理,中医情志护理措施。结果:患者胃肠功能恢复,病情平稳,转至普通病房继续治疗。结论:中医综合护理干预过程中采用传统的医学理论与方法对患者采取中医护理特色技术方法,养护结合,在调理的同时对严重脓毒症胃肠功能障碍患者进行护理干预,有意于临床效果的提高和自主功能的恢复。
Objective: To summarize the nursing process of a case of septic shock complicated with gastrointestinal dysfunction, and provide a reference for the nursing of severe patients with such diseases. Methods: Through the physical examination, digestive examination, circulation examination and infection of patients with sepsis, western medicine clearly diagnosed sepsis shock, acute gastroenteritis, and traditional Chinese medicine diagnosed the syndrome of withdrawal of yang qi and phlegm stagnation. During the whole treatment process, we will provide gastrointestinal function management, anti-infection, fluid infusion and pressure boosting, regulation of flora imbalance, perianal skin management, and emotional nursing measures of traditional Chinese medicine. Results: The gastrointestinal function of the patient recovered and the condition was stable. The patient was transferred to the general ward for further treatment. Conclusion: In the process of comprehensive nursing intervention in traditional Chinese medicine, traditional medical theories and methods are adopted to treat patients with characteristic technical methods of traditional Chinese medicine nursing, combined with maintenance, and nursing intervention is carried out for patients with severe sepsis gastrointestinal dysfunction at the same time, which is intended to improve the clinical effect and recover the autonomic function.
刘书华、张小桐、蔡卫敏
中医学临床医学内科学
脓毒症休克胃肠功能障碍中医护理特色技术
Sepsis shockGastrointestinal dysfunctionCharacteristic technology of traditional Chinese medicine nursing
刘书华,张小桐,蔡卫敏.1例中医护理特色技术在脓毒症休克合并胃肠功能障碍的护理报告[EB/OL].(2023-03-06)[2025-07-21].https://chinaxiv.org/abs/202303.00046.点此复制
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