中华护理杂志
  2023,Vol. 58(20): 2503-2507
  个案研究
1例高龄卵巢卵泡膜纤维瘤合并肌萎缩侧索硬化症患者的护理
郭立文(), 洪文静, 胡美华, 李旭英()
410013 长沙市 湖南省肿瘤医院妇瘤四科(郭立文),护理部(洪文静,胡美华,李旭英)
doi: 10.3761/j.issn.0254-1769.2023.20.010
Nursing care of an elderly patient with ovarian thecoma-fibroma tumors complicated with amyotrophic lateral sclerosis
GUO Liwen(), HONG Wenjing, HU Meihua, LI Xuying()
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摘要:

总结1例74岁高龄卵巢卵泡膜纤维瘤合并肌萎缩侧索硬化症患者的护理经验。护理要点:预防呼吸衰竭,做好气道护理;掌握气管插管的拔管指征,加强拔管后观察;监测患者体温变化,预防呼吸道感染;加强锻炼,促进呼吸功能恢复;识别营养风险,做好营养支持,维持机体代谢;完善功能康复训练与心理护理。通过个性化的护理措施,患者恢复良好,住院15 d后出院。

关键词: 卵巢卵泡膜纤维瘤,  肌萎缩侧索硬化症,  呼吸功能,  营养支持,  护理 
Abstract:

To summarize the nursing experience of a 74 year old patient with ovarian thecoma-fibroma tumors complicated with amyotrophic lateral sclerosis. Nursing points include:prevention of respiratory failure,good airway care;to master the indications of extubation and strengthen observation after extubation;to monitor temperature changes of patients to prevent respiratory tract infection;to strengthen the exercise,promote the recovery of respiratory function;to identify nutritional risks,provide nutritional support,and maintain body metabolism;to improve functional rehabilitation training and psychological nursing. Through personalized nursing measures,the patient recovered well and was discharged after 15 days in hospital.

Key words: Ovarian Thecoma-Fibroma Tumors,  Amyotrophic Lateral Sclerosis,  Respiratory Function,  Nutritional Support,  Nursing Care 
收稿日期: 2022-10-08
基金资助: 湖南省卫生健康委科研计划项目(202214034757)
作者简介: 郭立文:女,硕士,副主任护师,护士长,E-mail:646841037@qq.com