
浏览全部资源
扫码关注微信
北京市健宫医院 急诊科, 北京, 100054
收稿日期:2025-06-15,
修回日期:2025-09-23,
录用日期:2025-09-24,
网络出版日期:2025-09-29,
移动端阅览
王巧月. 1例经典型热射病患者中西医结合护理体会[DB/OL].中西医结合临床案例库, 2025.
WANG Qiaoyue. Experience in Integrated Traditional Chinese and Western Medicine Nursing for a Case of Classic Heat Stroke Patient[DB/OL].Clinical archives of integrative medicine, 2025.
王巧月. 1例经典型热射病患者中西医结合护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506150011.
WANG Qiaoyue. Experience in Integrated Traditional Chinese and Western Medicine Nursing for a Case of Classic Heat Stroke Patient[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506150011.
本文总结1例经典型热射病患者中西医结合的护理体会。患者为老年女性,基础疾病多,护理难度大。通过采取降温、呼吸机支持通气、扩容、补液抗凝、腹内压监测及肠内营养等综合治疗及护理,结合中医辨证,实施中医特色护理技术,即中药外治及内服、五音疗法,有效促进患者康复,并改善其生活质量。经过40 d的精心治疗与护理,患者康复出院。
This article summarizes the integrated Traditional Chinese and Western Medicine (TCM-WM) nursing experience for a patient with classic heat stroke. The elderly female patient had multiple underlying diseases, posing significant nursing challenges. Comprehensive interventions were implemented, including cooling measures, mechanical ventilation support, volume expansion, fluid resuscitation, anticoagulation therapy, intra-abdominal pressure monitoring, and enteral nutrition. Additionally, TCM-based nursing techniques such as herbal external applications, oral administration of Chinese medicine, and five-element music therapy were applied to enhance recovery and improve quality of life. After 40 days of meticulous treatment and nursing, the patient was successfully discharged.
杨乾坤 , 陈通 , 裴祎 , 等 . 热射病合并横纹肌溶解综合征及前臂骨筋膜室综合征1例报道 [J]. 中国医科大学学报 , 2020 , 49 ( 1 ): 91 - 93 .
YANG Q K , CHEN T , PEI Y , et al . A case report of heat stroke combined with rhabdomyolysis and forearm compartment syndromes [J]. J China Med Univ , 2020 , 49 ( 1 ): 91 - 93 . (in Chinese)
全军热射病防治专家组 , 中国老年保健协会急诊医学专业委员会 , 海南省医学会急诊医学分会 , 等 . 热射病救治体系建设标准专家共识(2025) [J]. 中华急诊医学杂志 , 2025 , 34 ( 3 ): 326 - 334 .
The Expert Group for Heat Stroke Prevention and Treatment of the Entire Military Force , the Emergency Medicine Professional Committee of the China Association for Geriatric Health Care , and the Emergency Medicine Branch of the Hainan Medical Association , et al . Expert Consensus on Construction Standards for Heat Stroke Treatment System (2025) [J]. Chin J Emerg Med , 2025 , 34 ( 3 ): 326 - 334 . (in Chinese)
宋景春 , 宋青 , 张伟 , 等 . 中国热射病诊断与治疗指南(2025版) [J]. 解放军医学杂志 , 2025 , 50 ( 4 ): 367 - 386 .
SONG J C , SONG Q , ZHANG W , et al . Chinese guideline for the diagnosis and treatment of heatstroke(2025 edition) [J]. Med J Chin People’s Liberation Army , 2025 , 50 ( 4 ): 367 - 386 . (in Chinese)
曹敏 , 李德美 . MDT护理在1例经典型热射病合并多种基础疾病患者中的应用 [J]. 老年医学研究 , 2023 , 4 ( 1 ): 42 - 45 .
CAO M , LI D M . Application of MDT nursing in a patient with classic heat stroke combined with various underlying diseases [J]. Geriatr Res , 2023 , 4 ( 1 ): 42 - 45 . (in Chinese)
马海欣 , 祝艳梨 , 李佳妍 , 等 . 热射病致病机制和治疗策略的研究进展 [J]. 中华危重病急救医学 , 2024 , 36 ( 5 ): 546 - 551 .
MA H X , ZHU Y L , LI J Y , et al . Research progress on the pathogenic mechanisms and treatment strategies of heat stroke [J]. Chin Crit Care Med , 2024 , 36 ( 5 ): 546 - 551 . (in Chinese)
中华医学会呼吸病学分会 , 中国老年保健医学研究会呼吸病学分会 , 中国呼吸医师分会呼吸职业发展委员会呼吸治疗师工作组 , 等 . 机械气道廓清技术临床应用专家共识 [J]. 中华结核和呼吸杂志 , 2023 , 46 ( 9 ): 866 - 879 .
Chinese Medical Association Respiratory Diseases Branch , Chinese Geriatric Health Medicine Research Association Respiratory Diseases Branch , Chinese Respiratory Physicians Association Respiratory Professional Development Committee Respiratory Therapist Working Group , et al . Expert consensus on clinical application of mechanical airway clearance technology [J]. Chin J Tuberc Respir Dis , 2023 , 46 ( 9 ): 866 - 879 . (in Chinese)
陈金凤 , 方明旺 , 肖成汉 , 等 . 中国老年人日常生活活动能力与抑郁症状的关系研究 [J]. 中国全科医学 , 2020 , 23 ( 22 ): 2852 - 2855, 2862 .
CHEN J F , FANG M W , XIAO C H , et al . Activities of daily living and depressive symptoms in the Chinese elderly [J]. Chin Gen Pract , 2020 , 23 ( 22 ): 2852 - 2855, 2862 . (in Chinese)
侍成栋 , 潘永良 . 汉密尔顿抑郁及焦虑量表与正性负性情绪量表的相关性研究 [J]. 全科护理 , 2019 , 17 ( 2 ): 140 - 142 .
SHI C D , PAN Y L . A Study on the Correlation between the Hamilton Depression and Anxiety Scale and the Positive and Negative Emotions Scale [J]. Chin Gen Pract Nurs , 2019 , 17 ( 2 ): 140 - 142 . (in Chinese)
中国腹腔重症协作组 . 重症患者腹内高压监测与管理专家共识(2020版) [J]. 中华消化外科杂志 , 2020 , 19 ( 10 ): 1030 - 1037 .
Chinese Collaborative Group for Critical Cases in Abdominal Surgery . Expert consensus on monitoring and management of intra-abdominal hypertension in severe patients (2020 edition) [J]. Chin J Dig Surg , 2020 , 19 ( 10 ): 1030 - 1037 . (in Chinese)
李霞 , 赵鲲鹏 . 基于五行音乐疗法的“五音” 研究与应用 [J]. 甘肃中医药大学学报 , 2023 , 40 ( 6 ): 25 - 28 .
LI X , ZHAO K P . Research and application of “five tones” based on five elements music therapy [J]. J Gansu Univ Chin Med , 2023 , 40 ( 6 ): 25 - 28 . (in Chinese)
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