小儿心脏手术后神经系统并发症的观察和护理  

Nursing care of complications in the nervous system induced from pediatric cardiac surgery

作　　者：陈丽芳[1] 简丽媛[1] 杨建群[1] 

机构地区：[1]广东省人民医院心外小儿ICU,广东广州510080

出　　处：《现代临床护理》2010年第12期16-18,共3页Modern Clinical Nursing

摘　　要：目的总结小儿心脏手术后神经系统并发症的观察要点及护理措施。方法回顾性分析本院2006年12月-2009年5月3 628例小儿心脏手术后患儿的临床资料,总结发生神经系统并发症的观察要点及护理措施。结果 3 628例小儿心脏手术后共发生7例神经系统并发症,包括:双侧枕、顶叶缺血缺氧性损伤2例,左侧额、顶颞叶大面积脑梗1例,左颞顶叶片状缺血、缺氧性病变并渗血1例,幕上硬膜下广泛大量出血、右侧幕上硬膜下积液考虑脑发育不良1例,缺血缺氧性神经系统并发症2例。经针对性的治疗和护理后,均好转出院。结论对心脏术后发生神经系统并发症的患儿一定要及时对症治疗,同时给予针对性的护理,其是促进患儿早日康复的关键。Objective To summarizes the experiences of nursing the neurological complications induced by pediatric cardiac surgery.Methods 3 628 cases of children with pediatric cardiac surgery were admitted into our hospital form December,2006 to May,2009.7 cases of neurological complications were observed.Result After active treatment and nursing care,7 cases of neurological complications were recovered after management by dehydration diuretic,cooling,sedation,convulsion,cranial nerve function recovery of drug use and hyperbaric oxygen therapy.Conclusion The timely management for the infants with neurological complications as well as the pertinent nursing are key to their early recovery.

关 键 词：心脏手术 儿童 并发症 护理 

分 类 号：R473.6[医药卫生—护理学]