摘要
目的总结三代头孢菌素引起尿毒症患者中枢神经系统不良反应的护理经验。方法对12例尿毒症患者使用三代头孢菌素后出现神经、精神症状,进行临床分析并采取相应的防护措施。结果 12例均及时停药,给予对症、支持治疗,其中4例维持性血液透析患者各增加1次透析、6例进行急诊血液透析,所有病例症状消失。结论尿毒症患者应用三代头孢菌素时需详细询问病史,严密观察用药反应,出现中枢神经系统不良反应后及时停药并积极采取相应的治疗护理措施,可避免严重并发症发生。
Objective To summarize nursing experience in caring uremia patients developing adverse reaction in central nervous system as a result of third generation cephalosporin. Methods Twelve uremia patients who developed neurologic and psychiatric symptoms were analyzed and corresponding measures were taken. Results The administration of third generation cephalosporin in the 12 cases were promptly discontinued at the emergence of the adverse reactions. They were given symptomatic and supportive treatment.Among all the cases,4 patients who had been undergoing maintenance hemodialysis therapy were ordered to add one more dialysis,6 cases underwent emergent hemodialysis therapy.In all cases,the symptoms disappeared. Conclusion When uremia patients were given third generation cephalosporin,medical staff should be fully knowledgeable about their history,and closely observe adverse reactions.The administration of third generation cephalosporin must be promptly discontinued at the emergence of the adverse reactions in central nervous system and corresponding measures should be taken in an attempt to avoid severe complications.
关键词
三代头孢菌素
尿毒症
中枢神经系统
神经精神症状
血液透析
护理
third generation cephalosporin
uremia
central nervous system
neurologic and psychiatric symptoms
hemo-dialysis
nursing care
作者简介
王龙凤：女，本科，副主任护师，护理部副主任
