中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
12期
76-77
,共2页
手足口病%神经源性肺水肿%护理
手足口病%神經源性肺水腫%護理
수족구병%신경원성폐수종%호리
Hand-foot-mouth disease%Neurogenic pulmonary edema%Nursing care
目的：总结重症手足口病并发神经源性肺水肿患儿的护理方法。方法：回顾分析深圳市儿童医院PICU收治的13例重症手足口病并发神经源性肺水肿患儿的临床护理资料，包括基础护理、入院时的急救处理、病情观察、呼吸支持期间的气道管理、早期脑保护、用药护理等。结果：9例治愈或好转出院，4例死亡。结论：严密观察病情，提高对肺水肿的早期识别，动态监测呼吸和血气分析，做好人工气道管理，加强基础护理等护理工作，能提高神经源性肺水肿患儿的救治成功率，降低病死率。
目的：總結重癥手足口病併髮神經源性肺水腫患兒的護理方法。方法：迴顧分析深圳市兒童醫院PICU收治的13例重癥手足口病併髮神經源性肺水腫患兒的臨床護理資料，包括基礎護理、入院時的急救處理、病情觀察、呼吸支持期間的氣道管理、早期腦保護、用藥護理等。結果：9例治愈或好轉齣院，4例死亡。結論：嚴密觀察病情，提高對肺水腫的早期識彆，動態鑑測呼吸和血氣分析，做好人工氣道管理，加彊基礎護理等護理工作，能提高神經源性肺水腫患兒的救治成功率，降低病死率。
목적：총결중증수족구병병발신경원성폐수종환인적호리방법。방법：회고분석심수시인동의원PICU수치적13례중증수족구병병발신경원성폐수종환인적림상호리자료，포괄기출호리、입원시적급구처리、병정관찰、호흡지지기간적기도관리、조기뇌보호、용약호리등。결과：9례치유혹호전출원，4례사망。결론：엄밀관찰병정，제고대폐수종적조기식별，동태감측호흡화혈기분석，주호인공기도관리，가강기출호리등호리공작，능제고신경원성폐수종환인적구치성공솔，강저병사솔。
Objective:To summarize the nursing care of severe hand-foot-mouth disease complicated with neurogenic pulmonary edema.Method:To retrospective analysis of clinical care information of 13 cases with severe hand-foot-mouth disease complicated by neurogenic pulmonary edema in Shenzhen Children Hospital PICU,including basic care,first-aid treatment at the time of admission,the observation condition,respiratory support during airway management,early brain protection,medication care and so on.Result:9 cases cured or improved,and 4 cases died.Conclusion:The nursing measures such as close observation of the disease,improve the early identification of pulmonary edema,dynamic monitoring of respiratory and blood gas analysis,good artificial airway management,strengthen basic nursing care can improve the treatment success rate of children with neurogenic pulmonary edema,and reduce mortality.
