手足口病并发神经源性肺水肿的护理体会

摘要

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.%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。