难治性支原体肺炎合并坏死性肺炎患儿1例护理  

Nursing care of a child with refractory mycoplasma pneumonia complicated with necrotizing pneumonia

作　　者：刘姣姣 程婷[1] 杜轶 高樱[1] LIU Jiaojiao;CHENG Ting;DU Yi;GAO Ying(Department of General Medicine,Children′s Hospital of Chongqing Medical University/National Clinical Research Center for Child Health and Diseases/Key Laboratory of Child Developmental Diseases of the Ministry of Education/Chongqing Key Laboratory of Childhood Metabolic and Inflammatory Diseases,Chongqing 401122,China)

机构地区：[1]重庆医科大学附属儿童医院全科医学科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童代谢与炎症性疾病重庆市重点实验室,重庆401122

出　　处：《现代医药卫生》2024年第18期3141-3143,3147,共4页Journal of Modern Medicine & Health

摘　　要：该文总结1例难治性支原体肺炎合并坏死性肺炎患儿的护理经验。主要内容包括:儿童支气管镜护理、药物护理、气道管理、发热护理、并发症预防与护理、儿童医疗辅导下的心理护理、中医护理、出院管理。该患儿为学龄期儿童,病情重、住院时间长、花销费用高、家属焦虑、依从性差,若得不到有效的治疗和护理,可能会累及各种脏器进一步损害,甚至导致死亡。经过医、护、患三方共同努力、积极治疗、精心护理38 d后,患儿好转出院,后期随访1个月左右,患儿肺部功能情况恢复良好。This article summarizes the nursing experience of a child with refractory Mycoplasma pneumonia complicated with necrotizing pneumonia.The main content includes:pediatric bronchoscopy care,medication care,airway management,fever care,prevention and nursing of complications,psychological care under pediatric medical counseling,traditional Chinese medicine nursing,and discharge management.The child was a school-age child with severe illness,long hospitalization time,high medical expenses,anxiety among family members,and poor compliance.Without effective treatment and nursing,the condition could potentially affect various organs,causing further damage or even death.Through the concerted efforts of doctors,nurses,and the child and his family,after 38 days of active treatment and meticulous nursing,the child′s condition improved and was discharged from the hospital.Follow-up examinations approximately one month later showed good recovery of lung function.

关 键 词：难治性支原体肺炎 坏死性肺炎 儿科 护理 

分 类 号：R473[医药卫生—护理学]