北京市大兴人民医院 神经重症监护室, 北京, 102600
收稿:2026-06-14,
修回:2026-07-03,
录用:2026-07-06,
网络首发:2026-09-01,
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朱琳. 1例延髓出血合并重症肺炎患者的护理[DB/OL].中西医结合临床案例库, 2026.
ZHU Lin. Nursing Care of a Patient with Medullary Hemorrhage Complicated by Severe Pneumonia[DB/OL].Clinical Archives of Integrative Medicine, 2026.
朱琳. 1例延髓出血合并重症肺炎患者的护理[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202606140003.
ZHU Lin. Nursing Care of a Patient with Medullary Hemorrhage Complicated by Severe Pneumonia[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202606140003.
本文总结1例延髓出血合并重症肺炎患者的护理经验。护理要点包括实施规范化气道管理联合俯卧位通气以改善氧合状态,落实目标导向性肠内营养支持方案,系统性防控神经系统、消化系统及血栓相关性并发症,早期开展多学科协作模式下的康复训练。经过22 d的治疗与护理,患者病情趋于稳定,家属要求出院转运。
This article summarizes the nursing experience of a patient with medullary hemorrhage complicated by severe pneumonia. Key nursing measures included the implementation of standardized airway management combined with prone position ventilation to improve oxygenation, the application of a goal-directed enteral nutrition support protocol, the systematic prevention of neurological, gastrointestinal, and thromboembolism-related complications, and the early initiation of multidisciplinary collaborative rehabilitation training. Following 22 days of treatment and nursing care, the patient's condition stabilized, and the family requested discharge and transfer.
米元元 , 蔡喆燚 , 刘静 , 等 . 非气管插管患者清醒俯卧位实施策略中国专家共识(2023) [J]. 中华危重病急救医学 , 2023 , 35 ( 4 ): 337 - 351 .
Mi Y Y , Cai Z Y , Liu J , et al . Expert consensus on implementation strategy of awake prone positioning for non-intubated patients in China (2023) [J]. Chin Crit Care Med , 2023 , 35 ( 4 ): 337 - 351 . (in Chinese)
胡梦阳 , 黄海燕 , 罗健 , 等 . 成人ICU患者气道廓清的最佳证据总结 [J]. 护理学杂志 , 2023 , 38 ( 2 ): 16 - 20 .
Hu M Y , Huang H Y , Luo J , et al . Best evidence summary of airway clearance in adult ICU patients [J]. J Nurs Sci , 2023 , 38 ( 2 ): 16 - 20 . (in Chinese)
王珍 , 张晓谊 . 慢性阻塞性肺疾病稳定期中西医肺康复研究进展 [J]. 新疆中医药 , 2024 , 42 ( 1 ): 137 - 140 .
Wang Z , Zhang X Y . Progress in Integrative Chinese and Western Medicine Pulmonary Rehabilitation for Stable Chronic Obstructive Pulmonary Disease [J]. Xinjiang J Tradit Chin Med , 2024 , 42 ( 1 ): 137 - 140 . (in Chinese)
游俊杰 , 刘波 , 陈梦玲 , 等 . 重症肺炎患者营养管理的最佳证据总结 [J]. 中华护理杂志 , 2024 , 59 ( 13 ): 1616 - 1623 .
You J J , Liu B , Chen M L , et al . Summary of the best evidence for nutritional management in patients with severe pneumonia [J]. Chin J Nurs , 2024 , 59 ( 13 ): 1616 - 1623 . (in Chinese)
程雷 , 项丽君 , 曹猛 , 等 . 医护标准化沟通下缺血性脑卒中介入术后患者镇痛镇静评估流程的临床应用研究 [J]. 护理学报 , 2025 , 32 ( 9 ): 7 - 14 .
Cheng L , Xiang L J , Cao M , et al . Effectiveness of analgesia and sedation assessment process following endovascular treatment for ischemic stroke under standardized communication between healthcare professionals [J]. J Nurs , 2025 , 32 ( 9 ): 7 - 14 . (in Chinese)
张丽 , 杨婷婷 , 史丽萍 , 等 . 俯卧位通气患者肠内营养管理的最佳证据总结 [J]. 中华急危重症护理杂志 , 2023 , 4 ( 2 ): 112 - 118 .
Zhang L , Yang T T , Shi L P , et al . Evidence summary of enteral nutrition management in patients with prone position ventilation [J]. Chin J Emerg Crit Care Nurs , 2023 , 4 ( 2 ): 112 - 118 . (in Chinese)
邹思璐 , 侯敏 , 高艳 , 等 . 不同质子泵抑制剂预防重症脑卒中患者应激性溃疡的药物经济学评价 [J]. 江西医药 , 2020 , 55 ( 5 ): 595 - 596, 608 .
Zou S L , Hou M , Gao Y , et al . Pharmacoeconomic evaluation of different proton pump inhibitors in preventing stress ulcer in patients with severe stroke [J]. Jiangxi Med J , 2020 , 55 ( 5 ): 595 - 596, 608 . (in Chinese)
刘爱彬 . 集束化护理对脑出血手术患者下肢深静脉血栓发生率的影响研究进展 [J]. 现代消化及介入诊疗 , 2022 , 27 ( S1 ): 1420 - 1421 .
Liu A B . Research progress on the influence of cluster nursing on the incidence of deep venous thrombosis of lower limbs in patients undergoing cerebral hemorrhage surgery [J]. Mod Dig Interv , 2022 , 27 ( S1 ): 1420 - 1421 . (in Chinese)
杜美昌 . 慢性阻塞性肺疾病稳定期的中西医肺康复研究进展 [J]. 中西医结合护理 , 2023 ( 8 ): 50 - 54 .
Du M C . Progress in pulmonary rehabilitation of Traditional Chinese Medicine and Western medicine in stable stage of chronic obstructive pulmonary disease [J]. Chin J Integr Nurs , 2023 ( 8 ): 50 - 54 . (in Chinese)
黄巧云 , 查姗姗 , 关力理 , 等 . 机械通气治疗呼吸衰竭临床研究年度进展2025 [J]. 中华结核和呼吸杂志 , 2026 , 49 ( 4 ): 448 - 452 .
Huang Q Y , Zha S S , Guan L L , et al . Annual advances in clinical research on mechanical ventilation in management of respiratory failure 2025 [J]. Chin J Tuberc Respir Dis , 2026 , 49 ( 4 ): 448 - 452 . (in Chinese)
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