摘要
总结1例老年非小细胞肺癌新辅助化疗联合免疫治疗后肺部感染并发心力衰竭及高渗高血糖综合征患者的护理经验。护理要点:组建多学科协作团队;医护合作积极寻找肺部感染病原菌,严格落实医院感染防控措施;心力衰竭早期预警护理;纠正高渗高血糖及电解质混乱,维持内环境稳定;早期营养支持、康复指导及心理护理;经过积极治疗和个体化护理,患者住院55 d,病情好转出院。
The nursing experience of an elderly non-small cell lung cancer patient with pulmonary infection,heart failure and hypertonic hyperglycemic syndrome after neoadjuvant chemotherapy combined with immunotherapy was summarized.Nursing points:establish a multidisciplinary cooperation team;medical cooperation to actively seek pathogenic bacteria for pulmonary infection,strictly implement hospital infection prevention and control measures;early warning care of heart failure;correct hypertonic hyperglycemia and electrolyte disorder,maintain the internal environment stability,early nutrition support,rehabilitation guidance,and psychological care;after aggressive treatment and individualized care,the patient was hospitalized for 55 d and discharged.
作者
徐美
周晓
黄小玲
Xu Mei;Zhou Xiao;Huang Xiaoling(Department of Thoracic Surgery,the First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang,China)
出处
《加速康复外科杂志》
2023年第2期87-91,共5页
JOURNAL OF ENHANCED RECOVERY AFTER SURGERY
关键词
老年
非小细胞肺癌
新辅助治疗
肺部感染
心力衰竭
高渗高血糖综合征
护理
Elderly
Non-small cell lung cancer
Neoadjuvant therapy
Pulmonary infection
Heart failure
Hyperosmolar hyperglycemia syndrome
Nursing
