CAJ | 학술논문

目的探讨院前急救指导应用于小儿高热惊厥的效果,以降低高热惊厥对患儿的损伤,取得最佳的急救效果.方法 2009年4月至2011年2月我院儿科共收治小儿高热惊厥急救患儿112例,对其中75例患儿家长采取院前急救护理指导,此75例患儿作为院前急救护理指导组.其余37例患儿作为非院前急救护理指导组,待医护人员赶到发病现场后对其进行常规急救护理.随后分别记录2组患儿的误吸、舌咬伤、高热惊厥再度发作以及脑损伤发生情况.结果院前急救护理指导组由于家长操作不当导致误吸的仅有1例,高热惊厥3例,无脑损伤、舌咬伤情况发生,院前急救护理指导组不良后果发生率为5.3％,低于非院前急救护理指导组的51.4％.结论在医疗急救人员还未到达患儿的发病现场之前便利用移动电话对患儿家长进行院前急救护理指导,能够显著减少患儿意外损伤,稳定患儿家长情绪,降低惊厥对患儿的影响,这对改善患儿症状及其后续治疗具有积极作用.
목적 탐토원전급구지도응용우소인고열량궐적효과,이강저고열량궐대환인적손상,취득최가적급구효과.방법 2009년4월지2011년2월아원인과공수치소인고열량궐급구환인112례,대기중75례환인가장채취원전급구호리지도,차75례환인작위원전급구호리지도조.기여37례환인작위비원전급구호리지도조,대의호인원간도발병현장후대기진행상규급구호리.수후분별기록2조환인적오흡、설교상、고열량궐재도발작이급뇌손상발생정황.결과 원전급구호리지도조유우가장조작불당도치오흡적부유1례,고열량궐3례,무뇌손상、설교상정황발생,원전급구호리지도조불량후과발생솔위5.3％,저우비원전급구호리지도조적51.4％.결론 재의료급구인원환미도체환인적발병현장지전편이용이동전화대환인가장진행원전급구호리지도,능구현저감소환인의외손상,은정환인가장정서,강저량궐대환인적영향,저대개선환인증상급기후속치료구유적겁작용.
Objective To investigate the effect of pre- hospital emergency care programs in children with febrile seizures,in order to reduce damage by febrile seizures and obtain the best firstaid effect. Methods 112 cases of children with febrile seizures were treated in pediatric department of our hospital from April 2009 to February 2011.The parents of 75 children patients were given guidance of prehospital emergency care,they were set as the pre-hospital emergency care group.The other 37 cases were set as the non-pre-hospital emergency care group,routine emergency care was given until the medical personnel arrived at the spot.The conditions of aspiration,tongue bite injury,another episode of febrile seizures and brain damage were recorded in two groups of children. Results Only one case of aspiration and three cases of febrile seizures occurred in the pre-hospital emergency care group by misoperation of parents.Non brain damage and tongue bite injury occurred.The incidence rate of improper consequences was 5.3％in the pre-hospital emergency care group,lower than that of the non-pre-hospital emergency care group,51.4％. Conclusions To give pre-hospital emergency care guidance to parents of children patients by mobile phones before the health care workers reach the spot can significantly reduce accidental injury of children,stabilize the emotion of parents,decrease the impact of seizures on children,all the above has a positive effect on follow-up treatment.