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一例胰腺癌化疗后合并乙型流感患者的护理
Nursing of patient with pancreatic cancer after chemotherapy complicated with influenza B: a case report

张洁利 张昕 陈典洁 杨宗燕

Zhang Jieli, Zhang Xin, Chen Dianjie, Yang Zongyan

【摘要】目的 报道1 例胰腺癌化疗后感染乙型流感病毒,且合并房颤、肺部感染病例的护理。 方法 回顾其临床资料以及治疗、转归情况,并总结其护理重点。结果 通过积极的治疗和护理,患者 乙型流感治愈,房颤复律成功,肺部感染得到一定控制,病情好转后转至综合医院治疗基础疾病。患者 住院期间,工作人员零感染,陪护未被感染。结论 胰腺癌化疗后合并乙型流感患者护理重点包括房颤、 肺部感染、乙流的病情观察,胰腺癌化疗后营养状况的提升,患者皮肤护理,针对患者及陪护的心理护 理,以及针对乙型流感的消毒隔离、工作人员的自我防护。
【摘要】Objective To report 1 case with pancreatic cancer after chemotherapy infected by influenza B virus, and complicated with atrial fibrillation, pulmonary infection. Methods Clinical data, treatment, outcome of this case were reviewed and the nursing emphasis was summarized. Results Through active treatment and nursing, with cured influenza, successful cardioversion of atrial fibrillation and controlled lung infection, the patient was transferred to general hospital to treat basic disease. During hospitalization, none infection occurred among medical staff and caregivers. Conclusions Key points of nursing of patient with pancreatic cancer after chemotherapy complicated with influenza B include disease observation of atrial fibrillation, lung infection and influenza B virus infection, nutritional status improvement, skin care, psychological care for patients and care-givers, disinfection and isolation to influenza B virus infection, and staff self-protection.

【关键词】流感,人; 胰腺肿瘤; 护理; 心房颤动; 肺部感染
【关键词】Influenza, human; Pancreatic neoplasms; Nursing care; Atrial fibrillation; Pulmonary infection