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Open Access Article

International Journal of Nursing Research. 2023; 5: (1) ; 14-18 ; DOI: 10.12208/j.ijnr.20230005.

Nursing care of a case of pancreatic ectopic adrenocorticotropic hormone syndrome complicated with pulmonary sporidium infection
一例胰腺异位促肾上腺皮质激素综合征合并肺部孢子菌感染的护理

作者: 唐雯洁 *

复旦大学附属肿瘤医院护理部;复旦大学上海医学院肿瘤学系 上海

*通讯作者: 唐雯洁,单位:复旦大学附属肿瘤医院护理部;复旦大学上海医学院肿瘤学系 上海;

发布时间: 2023-01-31 总浏览量: 325

摘要

异位促肾上腺皮质激素(adrenocorticotropic hormone,ACTH)综合征是比较罕见的内源性库欣综合征,ACTH水平越高,越容易引发肺孢子菌感染。肺孢子菌肺炎(pneumocystis carinii pneumonia,PCP)是一种重要的机会性感染病原体,在长期使用外源性糖皮质激素的患者中报道较多,但对异位ACTH综合征合并PCP报道却较少。本文介绍我院2021年6月15日收治胰腺异位ACTH并发肺部孢子菌感染的患者的护理体会。

关键词: 胰腺异位ACTH综合症;肺部孢子菌感染;护理

Abstract

Ectopic adrenocorticotropic hormone (ACTH) syndrome is a relatively rare endogenous Cushing's syndrome. The higher the level of ACTH, the easier it is to cause pneumoconiosis infection. Pneumocystis carinii pneumonia (PCP) is an important opportunistic infection pathogen, which has been reported more in patients with long-term use of exogenous glucocorticoids, but less in patients with ectopic ACTH syndrome combined with PCP. This article introduces the nursing experience of patients with heterotopic ACTH of pancreas complicated with pulmonary sporidium infection admitted to our hospital on June 15, 2021.

Key words: Ectopic ACTH Syndrome of Pancreas; Pulmonary Sporidium Infection; Nursing

参考文献 References

[1] 中华医学会内分泌学分会.库欣综合征专家共识(2011年)[J].中华内分泌代谢杂志,2012,28(2):96—102.

[2] Kovalovsky D,Refojo D,Holsboer F,et al. Molecular mechanisms and Th1 / Th2 pathways in corticosteroid regulation of cytokine production[J].J Neuroimmunol,2000,109:23-29.

[3] Bakker RC,Galls PRJ,Romijn JA,et al.Cushing's syndrome complicated by multiple opportunistic infections [J]. J Endocrinol Invest,1998,21: 329-333.

[4] Yale SH,Limper AH. Pneumocystis carinii pneumonia in patients without acquired immunodeficiency syndrome: associated illness and prior corticosteroid therapy [J]. Mayo Clin Proc,1996,71: 5-13.

[5] 刘芳,谢小美,胡惠敏.个案管理模式对糖尿病患者血糖情况及生活质量的影响[J].当代护士(上旬刊),2020, 27(5): 52-54.

[6] 中华医学会传染病学分会艾滋病学组. 艾滋病诊疗指南(2011 年版)[ J ].中华传染病杂志,2011,29(10):144-629.

[7] 赵秀珍.艾滋病抗逆转录病毒治疗致皮疹患者的观察和护理[ J ].护理研究,2012,26(17):1587-1588.

引用本文

唐雯洁, 一例胰腺异位促肾上腺皮质激素综合征合并肺部孢子菌感染的护理[J]. 国际护理学研究, 2023; 5: (1) : 14-18.