心功能不全患儿体外循环术后持续高热的临床特点分析及护理  

Clinical Characteristics of Continuous High Fever for Children Patients with Cardiac Dysfunction Undergoing Operation under Extracorporeal Circulation and Nursing

作　　者：马红[1] 李晓静[1] 郑晓燕[1] 高岭[1] 

机构地区：[1]温州医学院附属二院南浦ICU病房,浙江温州325000

出　　处：《护理学报》2011年第1期59-61,共3页Journal of Nursing（China）

摘　　要：分析78例心功能不全患儿体外循环术后持续高热的临床特点,总结有效的护理方法。术后持续高热的原因主要与术中机器转流、血液降温与复温、全麻致体温调节中枢功能紊乱有关,临床上具有高热出现时间早,单一治疗方法干预效果差,容易出现并发症的特点。护士需严密观测体温变化,采用联合降温并针对并发症及时护理,同时做好强心和保暖的护理。78例患儿中76例体温、心率恢复正常,痊愈出院,仅有2例并发室颤抢救无效死亡。In this paper,clinical characteristics and nursing of continuous high fever for children patients with cardiac dysfunction undergoing operation under extracorporeal circulation were analyzed and discussed.Major causes of continuous high fever included the rotation of machine,blood cooling and rewarming,dysfunction of thermoregulation center by general anesthesia and clinical characteristics were early appearance,poor effect of single treatment and with complications.Measures including monitoring temperature closely,taking various methods of cooling and warming and strengthening cardiac function were taken to prevent continuous high fever.76 out of 78 cases recovered in terms of temperature and heart rate and discharged while 2 cases complicated ventricular fibrillation and died.

关 键 词：小儿 心功能不全 体外循环术 高热 护理 

分 类 号：R473.72[医药卫生—护理学]