麻疹并发重症肺炎患儿的护理  

Nursing for Measles Child Patients Complicated with Severe Pneumonia

作　　者：徐武秀[1] 黄小霞[1] 张丹茹[1] 

机构地区：[1]温州医学院附属育英儿童医院感染科,浙江温州325027

出　　处：《护理学报》2009年第16期51-53,共3页Journal of Nursing（China）

摘　　要：总结20例麻疹并发重症肺炎患儿的护理经验。认为患儿发热时需及时退热,但退热幅度不宜过大,首选温水擦浴等物理降温方法;对合并呼吸衰竭的患儿注重呼吸道管理,选择合适的吸氧浓度和方式,使用呼吸机时根据患儿病情及时调整参数;对合并心力衰竭的患儿加强呼吸、循环系统检测及时发现病情变化,做好患儿的用药护理及饮食、排便的观察与护理。本组患儿18例治愈出院,2例因并发呼吸衰竭、心功能衰竭死亡。This paper sums up the experience in nursing 20 cases of child patients with measles complicated with severe pneumonia as follows： First, when the child patients has a fever, the temperature should be lowered in time, but not by a large margin, and the first choice for this purpose is physical ones such as warm water rubbing; second, for those complicated with respiratory failure, attention should be paid to the nursing of the respiratory tract, which includes the appropriate way of oxygen inhalation and the concentration of the oxygen, and the timely readjustment of the parameters of the respiratory machine; third, for those complicated with heart failure, monitoring of the respiratory and circulatory systems should be strengthened for timely spotting the changes in the disease condition, and attention should be paid to their medication, dieting, and defecation. Of the 20 cases, 18 were cured, and 2 were complicated with respiratory and heart failure and died.

关 键 词：麻疹 重症肺炎 儿童 护理 

分 类 号：R473.72[医药卫生—护理学]