摘要
本文报道了1例剖宫产术后并发重症急性胰腺炎患者的循证护理经验。患者因高脂血症性胰腺炎合并I型呼吸衰竭、电解质紊乱等复杂病情转入ICU，通过多学科协作制定个性化护理方案，包括早期液体复苏、胃肠减压、呼吸支持（HFNC）、床旁血浆置换、序贯营养管理、产褥期护理及心理干预。结合指南与文献证据，患者住院19天后康复出院。文中详细描述了各护理措施的实施细节及效果，强调多学科协作与精准护理的重要性。
关键词： 妊娠期急性胰腺炎；高脂血症；剖宫产；I型呼吸衰竭；电解质紊乱；护理
Abstract
This paper presents evidence-based nursing experience for a patient with severe acute pancreatitis following cesarean section. The patient was transferred to the intensive care unit (ICU) due to hyperlipidemic pancreatitis complicated by type I respiratory failure, electrolyte imbalance, and other complex conditions. A personalized care plan was developed through multidisciplinary collaboration, including early fluid resuscitation, gastrointestinal decompression, respiratory support with high-flow nasal cannula (HFNC), bedside plasma exchange, sequential nutritional management, postpartum care, and psychological intervention. Guided by guidelines and literature evidence, the patient recovered and was discharged after 19 days of hospitalization. This paper details the implementation steps and outcomes of each nursing intervention, highlighting the importance of multidisciplinary teamwork and precision care in managing such complex cases.
Key words： Acute pancreatitis in pregnancy; Hyperlipidemia; Cesarean section; Type I respiratory failure; Electrolyte imbalance; Nursing care
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