| 阮海涛.145例成人急性白血病危重症患者临床特征分析及护理风险管理策略[J].内科急危重症杂志,2026,32(5):475-479 |
| 145例成人急性白血病危重症患者临床特征分析及护理风险管理策略 |
| Clinical characteristic analysis and nursing risk management strategies for 145 critically ill adult patients with acute leukemia |
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| DOI：10.11768/nkjwzzzz.202601080036 |
| 中文关键词: 急性白血病 危重症 风险管理 护理 |
| 英文关键词: Acute leukemia Critical illness Risk management Nursing |
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| 中文摘要: |
| 摘要 目的：分析成人急性白血病(AL)危重症患者临床特征，制定护理风险管理策略，为救治AL危重症患者提供临床护理经验。方法：选取血液内科收治的成人AL危重症患者145例，通过医院电子病历系统收集并分析患者一般资料、相关并发症、治疗方式、转入ICU首要诊断、护理风险等信息。结果：转入重症监护室第一诊断为重症肺炎感染性休克、颅内出血并发呼吸衰竭；主要并发症包括重症肺炎、呼吸衰竭、感染性休克、凝血功能异常、肿瘤溶解综合征、移植物抗宿主病等；主要症状为发热、乏力、体力下降、咳嗽等；静脉栓塞高风险73.93%，营养不良高风险91.03%。提出建立以预警评分为核心的快速响应体系、基于时间窗的感染防控精准护理、重要脏器功能支持的精细化管理、营养支持、静脉血栓栓塞症防控的护理风险管理策略。结论：成人AL护理风险管理策略能够对患者进行早期的风险识别和干预，改善患者临床结局。 |
| 英文摘要: |
| Abstract Objective: To analyze the clinical characteristics of critically ill adult patients with acute leukemia (AL), develop nursing risk management strategies, and provide clinical nursing experience for the treatment of AL critically ill patients. Methods: A total of 145 adult AL critically ill patients admitted to the hematology department were selected. Patient general information, related complications, treatment methods, primary diagnoses upon ICU transfer, and nursing risks were collected through the hospital electronic medical record system. Results: The primary diagnosis upon ICU transfer was septic shock due to severe pneumonia and respiratory failure caused by intracranial hemorrhage.Main complications included severe pneumonia, respiratory failure, septic shock, coagulation dysfunction, tumor lysis syndrome, and graft-versus-host disease. Primary symptoms were fever, fatigue, decreased physical strength and cough. 73.93% of patients were at high risk for venous thromboembolism, and 91.03% were at high risk for malnutrition. Nursing risk management strategies were proposed, including the establishment of a rapid response system centered on early warning scores, time-window-based precision infection prevention and control, refined management of vital organ function support, nutritional support, and prevention of venous thromboembolism. Conclusion: Adult AL nursing risk management strategies can facilitate early risk identification and intervention, improving clinical outcomes for patients. |
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