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外科研究与新技术(中英文) ›› 2025, Vol. 14 ›› Issue (2): 195-198.doi: 10.3969/j.issn.2095-378X.2025.02.022

• 护理园地 • 上一篇    

脓毒症患者经大剂量维生素C治疗影响血糖检验结果1例报告及护理评判性思维应用

顾海燕, 张静, 顾佳慧, 许方蕾   

  1. 同济大学附属同济医院重症医学科,上海 200065
  • 收稿日期:2024-10-10 出版日期:2025-06-28 发布日期:2025-07-07
  • 通讯作者: 顾佳慧,电子信箱:450854694@qq.com
  • 基金资助:
    上海市同济医院国自然培育项目(GJPY2149)

A case report of high-dose vitamin C treatment for sepsis affecting blood glucose test results and nursing critical thinking

GU Haiyan, ZHANG Jing, GU Jiahui, XU Fanglei   

  1. Department of Critical Care Medicine, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China
  • Received:2024-10-10 Online:2025-06-28 Published:2025-07-07

摘要: 脓毒症患者临床需接受大剂量维生素C治疗进行抗氧化、免疫调节以及改善血管内皮功能。本文报告1例脓毒症患者经大剂量维生素C治疗影响静脉血糖检验结果的诊治经历及期间护理评判性思维路径。虽然患者最后的结局很差,但总结的护理管理经验能提高护士对于急危重症患者的评判性思维能力,发挥护理质量的前馈控制,使护理质量的提高变得积极而有效。

关键词: 脓毒症, 维生素C, 床边即时检测, 血糖, 危急值

Abstract: In clinical practice, high-dose vitamin C is used for septic patients to play roles in antioxidant, immunomodulation, and improvement of vascular endothelial function. This article reported a septic patient treated with high-dose vitamin C, which affected the test results of venous blood glucose, and summarized nursing critical thinking. Although the patient ended up with a poor outcome, summarizing nursing management experience would improve the nursing critical thinking for severe patients, and play a feedforward control, so as to positively and effectively improve nursing quality.

Key words: Sepsis, Vitamin C, Point-of-care testing, Blood glucose, Critical values

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