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中国中医科学院广安门医院 手术室, 北京, 100053
孟思璠, E-mail: deyuekeweiqi@sina.com
收稿日期:2025-04-22,
录用日期:2025-07-04,
网络出版日期:2025-08-14,
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张新悦, 孟思璠, 靳小梅. 1例基于“体温链式管理”方案联合五音疗法应用于冷凝集素综合征患者行胸腔镜肺叶切除术的护理体会[DB/OL].中西医结合临床案例库, 2025.
ZHANG Xinyue, MENG Sifan, JIN Xiaomei. Nursing Experience of Combining "Temperature Chain Management" Protocol with Five-Tone Therapy in a Cold Agglutinin Syndrome Patient Undergoing Thoracoscopic Lobectomy[DB/OL].Clinical archives of integrative medicine, 2025.
张新悦, 孟思璠, 靳小梅. 1例基于“体温链式管理”方案联合五音疗法应用于冷凝集素综合征患者行胸腔镜肺叶切除术的护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202504220007.
ZHANG Xinyue, MENG Sifan, JIN Xiaomei. Nursing Experience of Combining "Temperature Chain Management" Protocol with Five-Tone Therapy in a Cold Agglutinin Syndrome Patient Undergoing Thoracoscopic Lobectomy[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202504220007.
本文总结1例基于“体温链式管理”方案联合五音疗法应用于冷凝集素综合征(CAS)合并右肺中叶磨玻璃结节患者行胸腔镜肺叶切除术的全程护理经验。CAS患者因低温诱导使冷凝集素活化,胸腔镜手术易致体温暴露,面临溶血、血栓等多重风险。现有体温管理多局限于术中局部加温,忽视术前预暖、术中恒温调控及术后延续控温,难以阻断“低温—溶血”恶性循环。本研究旨在构建“体温链式管理”方案与五音疗法相结合,通过靶向控制体温暴露风险节点,优化CAS患者手术安全性,为特殊体质患者的精准体温管理提供新策略。
This article summarizes the comprehensive nursing management of a patient with cold agglutinin syndrome (CAS) and a ground-glass opacity nodule in the right middle lobe undergoing thoracoscopic lobectomy, utilizing a "temperature chain management" protocol integrated with five-tone therapy. CAS patients are exposed to multiple risks such as hemolysis and thrombosis due to cold-induced agglutinin activation during thoracoscopic surgery, which inevitably leads to body temperature exposure. Existing temperature management strategies predominantly focus on intraoperative local warming, neglecting preoperative pre-warming, intraoperative constant temperature regulation, and postoperative continuous temperature control, thereby failing to interrupt the "hypothermia-hemolysis" vicious cycle. This study establishes a novel approach by combining the "temperature chain management" protocol with five-tone therapy. It targets critical temperature exposure risk points to optimize surgical safety for CAS patients, offering a new strategy for precision temperature management in patients with special physiological conditions.
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