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.
GU Haiyan
,
ZHANG Jing
,
GU Jiahui
,
XU Fanglei
. A case report of high-dose vitamin C treatment for sepsis affecting blood glucose test results and nursing critical thinking[J]. Surgical Research and New Technique, 2025
, 14(2)
: 195
-198
.
DOI: 10.3969/j.issn.2095-378X.2025.02.022
[1] 王海军,邢学忠,曲世宁,等.肿瘤合并脓毒症患者的近期和中期预后影响因素分析[J].中国医刊,2021,56(6):613-616.
[2] van der Poll T, Shankar-Hari M, Wiersinga WJ. The immunology of sepsis[J]. Immunity, 2021, 54(11): 2450-2464.
[3] 赵翰卿,李欣怡,汪瑞琦,等.维生素家族对免疫细胞影响的研究进展[J].生命科学,2020,32(4):343-348.
[4] 黄小聪,许丽宣,赖冬梅.四联方案联合维生素C对2型糖尿病合并胃溃疡患者血糖水平的影响[J].糖尿病新世界,2024,27(14):105-108.
[5] 赵丽. 血糖测定方法的进展(综述)[J].安徽卫生职业技术学院学报,2016,15(1):141-143.
[6] Ten Berge D, Muller W, Beishuizen A, et al.Significant interference on specific point-of-care glucose measurements due to high dose of intravenous vitamin C therapy in critically ill patients[J]. Clin Chem Lab Med, 2020, 59(5): e197-e199.
[7] Zhang Y, Huang W.Never a rose without a prick: pseudohyperglycemia when administering high-dose intravenous vitamin C[J]. Crit Care, 2020, 24(1): 251.
[8] 中华医学会糖尿病学分会. 中国糖尿病防治指南(2024版)[J]. 中华糖尿病杂志,2025,17(1):16-139.
[9] 幸延斌. 血糖检测仪的发展、临床应用与选购[J].中国医疗器械信息,2008,14(12):25-29.
[10] 中国医学装备协会检验医学分会,中华医学会检验医学分会.即时检测(POCT)临床结果报告与发布中国专家共识[J]. 中华检验医学杂志,2020,43(5):567-569.
