接收83例院际转运危重症传染病患儿的护理  

Nursing of 83 Critically Ill Children with Infectious Disease during Interhospital Transport

作　　者：申叶林[1] 昌艳军[1] 黄蝶卿[1] 孙跃玉[1] 邝惠冰[1] 王晓钰[1] 

机构地区：[1]广东省人民医院广东省医学科学院儿童重症监护室,广东广州510080

出　　处：《护理学报》2014年第5期57-60,共4页Journal of Nursing（China）

摘　　要：总结接收83例院际转运危重症传染病患儿的护理。做好充分的转运设备准备和合适人员的配备;到达当地医院后护士先与家属沟通,签订转运知情同意书,详细评估患儿的病情,配合医生维持患儿病情的稳定,采取合理的隔离措施,做好患儿家属的健康宣教,对途中可能出现的病情变化做好充分的评估和准备;转运途中妥善安置患儿,加强病情的观察和处理,做好家属和患儿的安抚。患儿均安全入住儿童重症监护室进行隔离治疗,83例患儿中治愈78例,好转签字出院2例,死亡3例;转运人员、接触的工作人员及病房其他患儿未出现1例相关疾病的传染。To summarize the nursing of 83 critically ill children with infectious disease during interhospital transport.Before the transport, it was important to prepare sufficient transport materials and appropriate personnel. After reaching the local hospital, the nurses in the transport should make full assessment and preparation for potential illness changes during the transport, keep the patient in stable condition with the doctor, take reasonable isolation measures and make health education for patients ’ family; on the way back to the destination hospital, the nurses should properly settle the patient, closely observe patient ’s condition and make patients get timely treatment and pacify patients and their parents.None of the patients died during the transport and all of them were hospitalized in the pediatric intensive care unit （PICU）to get isolation and treatment. Of the total,seventy-eight patients recovered and two of them gave up treatment while three of them died.No infection by infectious diseases occurred among medical staff and patients.

关 键 词：传染病 院间转运 危重症 患儿 

分 类 号：R473.72[医药卫生—护理学]