CAJ | 학술논문

目的探讨危重症甲型H1N1流感患儿的病情观察重点及护理要点.方法观察护理27例甲型H1N1流感危重患儿,其中重症肺炎24例,合并急性呼吸窘迫综合征(ARDS)11例、多器官功能衰竭(MODS)9例、甲流相关性脑病7例.结果危重患儿以学龄儿童为多,重症肺炎以气促、低氧血症为突出症状,树样管型支气管肺炎表现为严重喘憋,合并甲流相关性脑病表现为不同程度神经精神症状,出现深昏迷者病情不可逆转.所有患儿中治愈出院24例,3例合并甲流相关急性坏死性脑病患儿死亡.结论早期识别甲流H1N1危重症的先兆症状,尽早给予呼吸支持、早期干预与治疗甲流相关性脑病,是控制病情进展降低病死率的关键.
목적 탐토위중증갑형H1N1류감환인적병정관찰중점급호리요점.방법 관찰호리27례갑형H1N1류감위중환인,기중중증폐염24례,합병급성호흡군박종합정(ARDS)11례、다기관공능쇠갈(MODS)9례、갑류상관성뇌병7례.결과 위중환인이학령인동위다,중증폐염이기촉、저양혈증위돌출증상,수양관형지기관폐염표현위엄중천별,합병갑류상관성뇌병표현위불동정도신경정신증상,출현심혼미자병정불가역전.소유환인중치유출원24례,3례합병갑류상관급성배사성뇌병환인사망.결론 조기식별갑류H1N1위중증적선조증상,진조급여호흡지지、조기간예여치료갑류상관성뇌병,시공제병정진전강저병사솔적관건.
Objective To probe into the nursing and focus on disease observation of critical ill children with influenza A H1N1. Methods Twenty seven critical ill children with influenza A H1N1were observed, including 11 cases with acute respiratory distress syndrome (ARDS) , 9 cases with MODS, 7 cases with encephalopathy associated with influenza A H1N1. Results Among these patients, 24 cases were cured, 3 cases combination with encephalopathy associated with influenza A H1N1 were dead. Critically ill children were mostly school - age children, severe pneumonia patients were shortness of breath, hypoxemia as prominent symptoms, tree - like casts serious Asthmatic bronchial pneumonia showed seriously choking, a stream merger - related encephalopathy showed varying degrees of neuropsy-chiatric symptoms, condition appeared irreversible deep coma. Conclusions To identify precursor symptoms of H1N1 critically ill patients early, provide respiratory support as soon as possible, early intervene and treat flow - related encephalopathy are the roles to control the progress in reducing the mortality of critical illness.