先天性长QT综合征患儿的护理  

Nursing Care of Children with Congenital Long QT Syndrome

作　　者：胡沛仪[1] 陈娇[1] 陈玫[1] 周玉芬[1] 

机构地区：[1]广东省人民医院广东省心血管病研究所广东省医学科学院心儿科,广东广州510100

出　　处：《护理学报》2011年第19期44-46,共3页Journal of Nursing（China）

摘　　要：总结11例先天性长QT综合征患儿的护理经验。认为护士应提高对本病的认识,认真评估危险因素,积极采取防护措施;密切观察病情变化,尤其是心率、心律及心电图的变化,正确识别各种心律失常类型;熟练掌握晕厥及尖端扭转型室性心动过速、心室颤动的急救技术;加强对药物疗效的观察和护理;重视健康指导,使患儿得到正规治疗并坚持终身服药是护理的重点。本组11例患儿,经过及时有效的治疗、护理,均救治成功。This paper summarized the nursing experience of 11 children with congenital long QT syndrome. Related risk factors of the syndrome should be fully assessed to adopt corresponding measures. Patients, especially the change of heart rate, rhyme and ECG, should be under close monitoring. Great attention should be paid to various types of arrhythmia, first aid techniques such as syncope, torsades de pointes ventricular tachycardia, ventricular fibrillation. Meanwhile, medication effects should be observed strictly. What was essential to the nursing care was effective treatment and lifelong medication-taking. All the patients in the study recovered after timely treatment and nursing care.

关 键 词：小儿 长QT综合征 晕厥 尖端扭转性室性心动过速 护理 

分 类 号：R541.7[医药卫生—心血管疾病]