摘要
目的纯红细胞再生障碍性贫血(pure red cell aplasia,PRCA)是较少见的疾病,其发病机制与免疫因素有关,应用环孢菌素A(cyclosporin A,CsA)治疗有效。高龄患者常合并其他器官病变,CsA与他汀类药物合并应用增加他汀类药物发生不良反应的风险。文中探讨高龄PRCA患者应用CsA后发生横纹肌溶解症(rhabdomyolysis,RM)的护理。方法对1例高龄PRCA患者应用CsA后出现RM进行针对性心理护理、用药护理、疼痛及基础护理。结果正确的护理措施有效地缓解了患者的病情,降低了血清肌酐水平。结论对高龄特殊疾病特殊患者有针对性地采取正确完善的护理措施对治疗效果至关重要。
Objective Pure red cell aplasia （PRCA） is rare disease which pathogenesis is relevant to immune mechanism. Cyclosporin A （CsA） is an effective pharmacotherapy for this disease. The elderly patients usually complicate with pathological conditions of multiple organs. The application of CsA with statin may increase the risk of adverse events. The aim of this study is to explore the nursing care for the elderly PRCA patients with rhabdomyolysis after taking CsA. Methods Targeted cares of mentality, medica- tion, pain and basic nursing were adopted for an elderly PRCA patient treated with CsA. Results Correct nursing measures effec- tively remitted the condition of disease and reduced the level of creatinine in serum. Conclusion Targeted adoption of correct, comprehensive nursing measures should be of vital importance for elderly patients with special disease.
出处
《医学研究生学报》
CAS
北大核心
2013年第1期54-56,共3页
Journal of Medical Postgraduates
基金
国家自然科学基金(81272394)
