代号恶性热疗：急诊科的恶性热疗-护理意义。

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing Pub Date : 2025-09-09 DOI:10.1016/j.jen.2025.07.016

Marlene Porter

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引用次数: 0

摘要

恶性高热是一种罕见的、危及生命的高代谢反应，可在急诊科意外发作，需要迅速识别和干预以挽救生命。如果不加以治疗，这种综合征可能是致命的，成人发病率为10万分之一，儿童发病率为3万分之一，死亡率为3%至5%。尽管恶性高热通常与围手术期环境有关，但急诊护士仍应警惕恶性高热，特别是当患者在插管或程序性镇静后出现突然高热、肌肉僵硬和心动过速时。这篇文章强调早期识别、快速干预策略和针对ED环境的准备方案，以改善恶性高热患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Code Malignant Hyperthermia: Malignant Hyperthermia in the Emergency Department-Implications for Nursing.

Malignant hyperthermia is a rare, life-threatening hypermetabolic reaction that can strike unexpectedly in the emergency department, demanding swift recognition and intervention to save lives. This syndrome can be fatal if not treated and occurrs in 1 in 100,000 adults and 1 in 30,000 children, with a 3% to 5% mortality rate. Although often associated with perioperative environments, malignant hyperthermia should remain on the radar for emergency nurses, especially when patients exhibit sudden hyperthermia, muscle rigidity, and tachycardia after intubation or procedural sedation. This article emphasizes early recognition, rapid intervention strategies, and preparedness protocols tailored to the ED context to improve outcomes for patients with malignant hyperthermia.

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来源期刊

Journal of Emergency Nursing 医学-护理

CiteScore

3.10

自引率

11.80%

发文量

132

审稿时长

46 days

期刊介绍： The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice. The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics. The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.