丙种球蛋白治疗小儿川崎病的护理体会  

Nursing experience of γ-globulin in the treatment of Kawasaki disease in children

作　　者：刘用葵 劳文芹 LIU Yong-kui;LAO Wen-qin(Department of Pediatrics, Guangzhou Medical University Affiliated Second Hospital, Guangzhou 510260, China)

机构地区：[1]广州医科大学附属第二医院儿科

出　　处：《中国现代药物应用》2019年第18期75-77,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 总结丙种球蛋白治疗小儿川崎病的护理观察要点。方法 80例川崎病患儿,采用丙种球蛋白治疗,同时加强药物治疗过程的观察和护理。观察其临床疗效,记录住院天数、不良反应发生情况及随访情况。结果 好转出院79例,住院天数8.2d。患者肝功能异常逐渐恢复、眼睑充血、唇红伴皲裂、颈淋巴结肿大等症状完全消退,全身水肿及手足硬肿消退,无丙种球蛋白等相应药物不良反应发生。随访冠状动脉扩张均未发现冠状动脉持续改变19例;均无冠状动脉瘤病例;冠状动脉瘤破裂、心包填塞死亡1例。结论 小儿川崎病冠状动脉损害、毛细血管渗漏的护理是本病关键,同时注意药物治疗的护理及出院宣教,促进尽早康复。Objective To summarize the nursing points of children with Kawasaki disease treated by γ-globulin in the treatment. Methods 80 children with Kawasaki disease were treated with γ-globulin, and the observation and nursing of the course of drug treatment were strengthened. The clinical efficacy was observed, and the hospitalization time, occurrence of adverse reactions and follow-up status were recorded. Results 79 case discharged, with hospitalization time as 8.2 d. The abnormal liver function of patients gradually recovered. Symptoms such as eyelid congestion, lip redness with rhagadia, cervical lymph node enlargement and other symptoms completely subsided, and edema of the whole body and swelling of hands and feet subsided. No adverse drug reactions related γ-globulin occurred. No sustained changes of coronary artery were found in 19 cases of coronary artery dilatation, no cases of coronary artery aneurysm, and 1 case died due to coronary artery aneurysm rupture and pericardial tamponade. Conclusion Nursing of coronary artery damage and capillary leakage in children with Kawasaki disease is the key to this disease. At the same time, attention should be paid to the nursing of drug treatment and discharge education, so as to promote early rehabilitation.

关 键 词：丙种球蛋白 小儿川崎病 护理 

分 类 号：R473.72[医药卫生—护理学]