
浏览全部资源
扫码关注微信
天津中医药大学第一附属医院 ICU, 天津, 300381
收稿日期:2024-12-26,
录用日期:2025-02-06,
网络出版日期:2025-02-21,
移动端阅览
谢馨, 李中慧. 1例横纹肌溶解症的中西医结合护理[DB/OL].中西医结合临床案例库, 2025.
XIE Xin, LI Zhonghui. Nursing care of a case of rhabdomyolysis treated with integrated traditional Chinese and Western Medicine[DB/OL].Clinical archives of integrative medicine, 2025.
谢馨, 李中慧. 1例横纹肌溶解症的中西医结合护理[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202412260001.
XIE Xin, LI Zhonghui. Nursing care of a case of rhabdomyolysis treated with integrated traditional Chinese and Western Medicine[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202412260001.
本文总结1例成功治疗横纹肌溶解症患者的中西医结合护理体会。患者入院后配合医生给予CRRT、纠酸、护肝、护胃及液体支持等治疗,做好患者的皮肤及心理护理,同时配合耳穴贴压、中药热奄包、双下肢肢体加压、中医定向透药、湿敷及中药汤剂口服治疗。患者经ICU治疗4 d后,尿色正常,双下肢略酸痛无力,双下肢不肿,2024年10月10日患者病情平稳,转至我院急症二病区治疗,2024年10月12日患者病情好转出院。
This paper summarizes the nursing experience of a patient with rhabdomyolysis treated successfully with integrated traditional Chinese and Western medicine. After admission, the patient cooperated with the doctor to give CRRT, acid correction, liver protection, stomach protection, liquid support and other treatments, and did a good job in the patient's skin and psychological care. At the same time, the patient was treated with auricular point sticking, traditional Chinese medicine hot dying bag, bilateral lower limb limb compression, traditional Chinese medicine directional penetration, wet compress and oral Chinese medicine decoction. After 4 days of ICU treatment, the patient's urine color was normal, his lower limbs were slightly sore and weak, and his lower limbs were not swollen. On October 10, 2024, the patient's condition was stable, and he was transferred to the second emergency ward of our hospital for treatment. On October 12, 2024, the patient's condition improved and he was discharged.
宋玲莉 , 苗原溢 . 以癫痫伴横纹肌溶解为首发表现的自身免疫性脑炎1例 [J]. 内科急危重症杂志 , 2024 , 30 ( 3 ): 270 - 272 .
SONG L L , MIAO Y Y . A case of autoimmune encephalitis with epilepsy and rhabdomyolysis as the first manifestation [J]. J Crit Care Intern Med , 2024 , 30 ( 3 ): 270 - 272 . (in Chinese)
汤计瑞 , 白寒松景莉 , 侯静 , 等 . 血浆置换治疗蜂蜇伤致横纹肌溶解综合征患者的疗效分析 [J]. 中国中西医结合急救杂志 , 2019 , 26 ( 4 ): 406 - 408 .
TANG J R , TANG J R , HOU J , et al . Therapeutic effect analysis of plasma exchange therapy on rhabdomyolysis syndrome patients caused by wasp stings [J]. Chin J Integr Tradit West Med Intensive Crit Care , 2019 , 26 ( 4 ): 406 - 408 . (in Chinese)
CABRAL B M I , EDDING S N , PORTOCARRERO J P , et al . Rhabdomyolysis [J]. Dis Mon , 2020 , 66 ( 8 ): 101015 .
侯国峰 , 侯亚男 , 朱广昌 , 等 . 急性下肢动脉栓塞骨筋膜室综合征合并辛伐他汀横纹肌溶解1例 [J]. 血管与腔内血管外科杂志 , 2024 , 10 ( 2 ): 247 - 249 .
HOU G F , HOU Y N , ZHU G C , et al . A case of acute lower extremity arterial embolization bone compartment syndrome complicated with simvastatin rhabdomyolysis [J]. J Vasc Endovasc Surg , 2024 , 10 ( 2 ): 247 - 249 . (in Chinese)
REN J R , WANG Y , NIE J , et al . Venlafaxine-associated rhabdomyolysis: a literature review [J]. J Clin Psychopharmacol , 2024 , 44 ( 3 ): 297 - 301 .
谢派玲 , 袁帅帅 , 刘凤清 , 等 . 重症肺炎并发严重肌溶解及多脏器功能损害患者的护理 [J]. 中华急危重症护理杂志 , 2024 , 5 ( 1 ): 61 - 64 .
XIE P L , YUAN S S , LIU F Q , et al . Nursing of a patient with severe pneumonia complicated by severe rhabdomyolysis and multiple organ failure [J]. Chin J Emerg Crit Care Nurs , 2024 , 5 ( 1 ): 61 - 64 . (in Chinese)
STAHL K , RASTELLI E , SCHOSER B . A systematic review on the definition of rhabdomyolysis [J]. J Neurol , 2020 , 267 ( 4 ): 877 - 882 .
王殿珍 , 杨琴 . 剧烈运动致急性肾损伤救治护理2例 [J]. 现代医药卫生 , 2018 , 34 ( 24 ): 3895 - 3896 .
WANG D Z , YANG Q . Treatment and nursing of acute kidney injury induced by intense exercise: a report of 2 cases [J] J Mod Med Health , 2018 , 34 ( 24 ): 3895 - 3896 . (in Chinese)
李会娟 , 刘瑾 , 傅晓瑾 , 等 . 成人压力性损伤减压方法研究进展 [J]. 军事护理 , 2024 , 41 ( 5 ): 97 - 100 .
LI H J , LIU J , FU X J , et al . Research progress on decompression methods of adult pressure injuries [J]. Mil Nurs , 2024 , 41 ( 5 ): 97 - 100 . (in Chinese)
贾九丽 , 肖勇洪 , 刘颖希 . 基于“湿热瘀滞” 及“气津两伤” 应用经方辨治运动性横纹肌溶解症思路 [J]. 中医药通报 , 2024 , 23 ( 4 ): 22 - 24, 55 .
JIA J L , XIAO Y H , LIU Y X . Utilizing jingfang therapy, based on concepts like “dampness-heat stasis” and “two injuries of qi and fluid”, to differentiate and treat exercise-induced rhabdomyolysis [J]. Tradit Chin Med J , 2024 , 23 ( 4 ): 22 - 24, 55 . (in Chinese)
罗昕 , 童安荣 . 中西医结合治疗运动性横纹肌溶解综合征 [J]. 中国民族民间医药 , 2019 , 28 ( 3 ): 63 - 64 .
LUO X , TONG A R . A case of exertional rhabdomyolysis [J]. Chin J Ethnomed Ethnopharmacy , 2019 , 28 ( 3 ): 63 - 64 . (in Chinese)
王瑶 , 王芳 , 王玮 , 等 . 耳穴疗法治疗脑卒中吞咽障碍患者疗效的Meta分析 [J]. 当代护士(中旬刊) , 2022 , 29 ( 12 ): 76 - 80 .
WANG Y , WANG F , WANG W , et al . Meta-analysis of the efficacy of auricular acupoint therapy in the treatment of stroke patients with dysphagia [J]. Mod Nurse , 2022 , 29 ( 12 ): 76 - 80 . (in Chinese)
赵志鹏 . 早期应用中西医结合康复治疗脑卒中的效果分析 [J]. 现代养生 , 2022 , 22 ( 18 ): 1562 - 1564 .
ZHAO Z P . Effect analysis of early application of integrated Chinese and Western medicine in rehabilitation treatment of stroke [J]. Health Prot Promot , 2022 , 22 ( 18 ): 1562 - 1564 . (in Chinese)
姚海英 . 中药湿敷治疗药物渗出性组织损伤的护理 [J]. 实用临床护理学电子杂志 , 2018 , 3 ( 20 ): 66 , 71 .
YAO H Y . Nursing care of tissue injury induced by drug exudation treated by wet compress of traditional Chinese medicine [J]. Electron J Pract Clin Nurs Sci , 2018 , 3 ( 20 ): 66 , 71 . (in Chinese)
何怀阳 , 范志清 , 容超 , 等 . 活血化瘀涂搽药治疗冠脉介入穿刺并发症临床观察 [J]. 光明中医 , 2024 , 39 ( 16 ): 3176 - 3179 .
HE H Y , FAN Z Q , RONG C , et al . Huoxue Huayu liniment in the treatment of coronary interventional puncture complications [J]. Guangming J Chin Med , 2024 , 39 ( 16 ): 3176 - 3179 . (in Chinese)
葛海红 , 张瑜 , 陈丽贤 . 中医定向透药治疗联合耳穴揿针在脑出血偏瘫患者中的应用 [J]. 齐鲁护理杂志 , 2024 , 30 ( 11 ): 61 - 64 .
GE H H , ZHANG Y , CHEN L X . Application of TCM directional transdrug therapy combined with ear point acupuncture in patients with cerebral hemorrhage and hemiplegia [J]. J Qilu Nurs , 2024 , 30 ( 11 ): 61 - 64 . (in Chinese)
胡琴 , 严可凤 , 董磊 . 超声对气压治疗泵预防ICU患者下肢深静脉血栓形成的效果观察 [J]. 中国乡村医药 , 2022 , 29 ( 9 ): 17 - 18 .
HU Q , YAN K F , DONG L . Effect of ultrasound on the prevention of deep venous thrombosis of lower extremities in ICU patients [J]. Chin J Rural Med Pharm , 2022 , 29 ( 9 ): 17 - 18 . (in Chinese)
姜颖 . 双下肢气压泵对卧床患者减少下肢深静脉血栓的护理效果 [J]. 中国医药指南 , 2022 , 20 ( 14 ): 139 - 141, 145 .
JIANG Y . Nursing effect of double lower extremity pneumatic pump on reducing deep vein thrombosis of lower extremities [J]. Guide China Med , 2022 , 20 ( 14 ): 139 - 141, 145 . (in Chinese)
李国刚 , 杨林 , 朱平 . 横纹肌溶解症发病机制研究进展 [J]. 中华灾害救援医学 , 2019 , 7 ( 10 ): 596 - 600 .
LI G G , YANG L , ZHU P . Research progress on the pathogenesis of rhabdomyolysis [J]. Chin J Disaster Med , 2019 , 7 ( 10 ): 596 - 600 . (in Chinese)
CHATZIZISIS Y S , MISIRLI G , HATZITOLIOS A I , et al . The syndrome of rhabdomyolysis: complications and treatment [J]. Eur J Intern Med , 2008 , 19 ( 8 ): 568 - 574 .
王光璞 , 王亚琨 , 吴迪 , 等 . RYR1基因变异的劳力性横纹肌溶解1例 [J]. 上海交通大学学报(医学版) , 2024 , 44 ( 10 ): 1330 - 1334 .
WANG G P , WANG Y K , WU D , et al . A case of exertional rhabdomyolysis with RYR1 gene variation [J]. J Shanghai Jiao Tong Univ Med Sci , 2024 , 44 ( 10 ): 1330 - 1334 . (in Chinese)
BÄCKER H C , RICHARDS J T , KIENZLE A , et al . Exertional rhabdomyolysis in athletes: systematic review and current perspectives [J]. Clin J Sport Med , 2023 , 33 ( 2 ): 187 - 194 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621