儿茶酚胺敏感性室性心动过速致脑损伤患儿的康复护理  

Rehabilitation nursing of a child with brain injury caused by catecholaminergic polymorphic ventricular tachycardia

作　　者：徐丹娜 徐建仙[1] 胡辰琼 吴玉珊 徐袁聪 何劼 裘江英 XU Danna;XU Jianxian;HU Chenqiong;WU Yushan;XU Yuancong;HE Jie;QIU Jiangying

机构地区：[1]浙江大学医学院附属儿童医院骨科康复科,杭州市310052

出　　处：《中华急危重症护理杂志》2023年第3期229-231,共3页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省医药卫生科技计划项目(2023KY130)。

摘　　要：总结1例儿茶酚胺敏感性多形性室性心动过速(catecholaminergic polymorphic ventricular tachycardia,CPVT)患儿突发心搏骤停,经心肺复苏抢救成功后继发脑损伤的康复护理体会。因运动或情绪激动易诱发CPVT,护理上需注意安抚患儿,营造安静的病房环境;在持续心电监护下进行渐进性运动与认知语言康复,并做好个体化营养管理,以提高患儿生存质量。经过45 d的康复护理,患儿意识状态、语言认知及运动功能均较入院时明显改善,住院期间无CPVT发作,病情好转出院。To summarize the rehabilitation nursing experience of a child with catecholamine sensitive polymorphic ventricular tachycardia(CPVT)who suffered from secondary brain injury after successful cardiopulmonary resuscitation.CPVT is easy to be induced by exercise or emotional excitement.Attention was paid to pacify children and create a quiet ward environment.Progressive exercise and cognitive language rehabilitation was carried out under continuous ECG monitoring,and individualized nutrition management was performed to improve the quality of life of the child.After 45 days of rehabilitation nursing,the children's consciousness,language cognition and motor function were significantly improved.During the hospitalization,there was no recurrence of CPVT.He was stable and discharged.

关 键 词：儿茶酚胺类 心动过速 室性 儿童 脑损伤 康复护理 

分 类 号：R473.72[医药卫生—护理学]