摘要
总结1例脐血干细胞移植后接受嵌合抗原受体T细胞治疗并发人疱疹病毒6B(HHV-6B)脑炎患儿的护理经验。患儿,女,4岁,2021年5月28日确诊为急性T淋巴细胞白血病。护理要点包括全面细致地鉴别观察症状,为早诊断早治疗提供信息;制订专项管理方案,实施个体化护理;制订共享决策沟通模式,预防院内继发性感染;以患儿为中心,做好腰椎穿刺护理;评估患儿及家属需求,疏解负面情绪;完善出院前准备,注重延续护理。经过积极的治疗和精心的护理,患儿病情好转出院。持续随访6个月,患儿为持续缓解状态,无不良后遗症,生活恢复正常。
Summarizing the nursing experience of a child with HHV-6B encephalitis after umbilical cord blood transplantation and CAR-T therapy.The child was 4 years old and was diagnosed with acute T lymphocytic leukemia on May 28,2021.Nursing points:meticulously observe symptoms for early diagnosis and treatment;develop a specialized management plan,implement individualized care;enhance medication management to improve the quality of care;establish a shared decision-making communication model to prevent hospital-acquired infections;provide patient-centered care for lumbar puncture;assess the needs of the child and family,alleviate negative emotions;improve pre-discharge preparation,emphasize continuity of care.With proactive treatment and careful nursing,the child′s condition improved,and they were discharged.Follow-up for six months showed the child in a sustained remission state with no adverse sequelae,and normal life resumed.
作者
杨懿
王俊霞
陈毓雯
张慧敏
王梦川
Yang Yi;Wang Junxia;Chen Yuwen;Zhang Huimin;Wang Mengchuan(State Key Laboratory of Experimental Hematology,National Clinical Research Center for Blood Disease,Haihe Laboratory of Cell Ecosystem,Institute of Hematology&Blood Diseases Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Tianjin 300020,China;Tianjin Institutes of Health Science,Tianjin 301600,China)
出处
《中国实用护理杂志》
2024年第9期687-692,共6页
Chinese Journal of Practical Nursing
基金
天津市护理学会科研课题(tjhlky2023YB05)。
关键词
脐血干细胞移植
脑炎
疱疹病毒6型
人
儿科学
嵌合抗原受体
Cord blood stem cell transplantation
Encephalitis
Herpesvirus 6,human
Pediatrics
Chimeric antigen receptor
