小儿先天性心脏病术后气胸的预防及护理观察(1)
摘要:目的 探讨小儿先天性心脏病术后气胸的预防及护理措施。方法 随机选取我院2015年4月~2016年12月收治的90例行小儿先天性心脏病术的患儿,对所有患儿进行分类,纳入45例对照组,45例观察组。对照组行常规护理,观察组以常规护理为基础行气胸预防及综合护理干预,总结归纳两组患者的最终护理效果。结果 观察组护理效果与对照组相比,护理有效率、气胸及感染发生率明显优于对照组,对比存在统计学意义(P<0.05)。结论 对行小儿先天性心脏病术的患儿实施气胸预防及综合护理干预可降低气胸发生率,改善患儿的临床症状,应用价值较高。
关键词:小儿先天性心脏病;气胸;预防
中图分类号:R473.72 文献标识码:A 文章编号:1006-1959(2017)17-0163-02 Prevention and Nursing Observation of Postoperative Pneumothorax in Children with
, http://www.100md.com
Congenital Heart Disease
SUN Yu-ping,LIU Chun
(The Heart Center Monitoring Room CCU,Qingdao City Women and Children Hospital,Qingdao 266000,Shandong,China)
Abstract:Objective To investigate the prevention and nursing measures of postoperative pneumothorax in children with congenital heart disease.Methods Randomly selected our hospital in April 2015 to December 2016 admitted 90 cases of congenital heart disease in children,all children were classified,45 cases were included in the control group,45 cases of observation group.The control group received routine nursing care,while the observation group received routine nursing as the basis for the prevention of pneumothorax and comprehensive nursing intervention.The final nursing effect of the two groups was summed up.Results The nursing effect of observation group compared with the control group,nursing efficiency, pneumothorax and infection rate were significantly better than the control group,there were statistically significant contrast(P<0.05).Conclusion The implementation of pneumothorax prevention and comprehensive nursing intervention for children with congenital heart disease can reduce the incidence of pneumothorax,improve the clinical symptoms of children,and have higher application value.
, 百拇医药
Key words:Children with congenital heart disease;Pneumothorax;Prevention
小兒先天性心脏病属于儿科常见先天性畸形,多因遗传、环境等因素引起,具有较大的危害性[1]。临床主要采取手术方式治疗小儿先天性心脏病,但是术后易出现感染,因此术后需积极实施气胸预防,加强综合护理干预。选取我院2015年4月~2016年12月收治行小儿先天性心脏病术的患儿90例,探讨了气胸的预防及护理,现做归纳。
1 资料与方法
1.1一般资料
随机选取我院2015年4月~2016年12月收治的90例行小儿先天性心脏病术的患儿,对所有患儿进行分类,纳入45例对照组,45例观察组。对照组中,男29例,女16例,年龄2~7岁,平均年龄(4.5±2.0)岁;观察组中,男30例,女15例,年龄1~6岁,平均年龄(3.5±1.8)岁。两组患儿各项资料无明显差异,对比无统计学意义(P>0.05)。
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1.2方法
1.2.1对照组 行常规护理,密切监测患儿的生命体征,多鼓励支持患儿,提高患儿的治疗依从性;加强对患儿家属的健康教育,让家属能掌握用药方法、并发症预防方法。
1.2.2观察组 以常规护理为基础行气胸预防和综合护理,具体如下:
1.2.2.1气胸预防 通气模式选择为呼吸末正压模式,避免发生肺不张等问题,依据患儿血气分析结果对通气参数进行调整,尽量缩短呼吸机的使用时间,如有异常及时进行对症处理。
1.2.2.2护理干预 积极预防腹腔继发性感染,定时更换胸腔引流瓶,落实无菌操作;控制好夹引流管的时间,避免出现引流不畅等问题;密切观察患儿的呼吸情况,采用适宜的抗生素预防感染,定时对患儿进行翻身、拍背,给予吸痰。密切观察患儿病情的变化情况,及时给予对症处理。留置针后与引流管、水封瓶连接,于患儿胸腔水平下70 cm左右置放水封瓶。定时对引流管进行挤压,避免出现阻塞问题;对留置针进行妥善固定,检查引流管的通畅情况;对患儿进行吸痰、拍背时,避免引流管打折,维持引流管的通畅。, 百拇医药(孙裕萍 刘春)
关键词:小儿先天性心脏病;气胸;预防
中图分类号:R473.72 文献标识码:A 文章编号:1006-1959(2017)17-0163-02 Prevention and Nursing Observation of Postoperative Pneumothorax in Children with
, http://www.100md.com
Congenital Heart Disease
SUN Yu-ping,LIU Chun
(The Heart Center Monitoring Room CCU,Qingdao City Women and Children Hospital,Qingdao 266000,Shandong,China)
Abstract:Objective To investigate the prevention and nursing measures of postoperative pneumothorax in children with congenital heart disease.Methods Randomly selected our hospital in April 2015 to December 2016 admitted 90 cases of congenital heart disease in children,all children were classified,45 cases were included in the control group,45 cases of observation group.The control group received routine nursing care,while the observation group received routine nursing as the basis for the prevention of pneumothorax and comprehensive nursing intervention.The final nursing effect of the two groups was summed up.Results The nursing effect of observation group compared with the control group,nursing efficiency, pneumothorax and infection rate were significantly better than the control group,there were statistically significant contrast(P<0.05).Conclusion The implementation of pneumothorax prevention and comprehensive nursing intervention for children with congenital heart disease can reduce the incidence of pneumothorax,improve the clinical symptoms of children,and have higher application value.
, 百拇医药
Key words:Children with congenital heart disease;Pneumothorax;Prevention
小兒先天性心脏病属于儿科常见先天性畸形,多因遗传、环境等因素引起,具有较大的危害性[1]。临床主要采取手术方式治疗小儿先天性心脏病,但是术后易出现感染,因此术后需积极实施气胸预防,加强综合护理干预。选取我院2015年4月~2016年12月收治行小儿先天性心脏病术的患儿90例,探讨了气胸的预防及护理,现做归纳。
1 资料与方法
1.1一般资料
随机选取我院2015年4月~2016年12月收治的90例行小儿先天性心脏病术的患儿,对所有患儿进行分类,纳入45例对照组,45例观察组。对照组中,男29例,女16例,年龄2~7岁,平均年龄(4.5±2.0)岁;观察组中,男30例,女15例,年龄1~6岁,平均年龄(3.5±1.8)岁。两组患儿各项资料无明显差异,对比无统计学意义(P>0.05)。
, http://www.100md.com
1.2方法
1.2.1对照组 行常规护理,密切监测患儿的生命体征,多鼓励支持患儿,提高患儿的治疗依从性;加强对患儿家属的健康教育,让家属能掌握用药方法、并发症预防方法。
1.2.2观察组 以常规护理为基础行气胸预防和综合护理,具体如下:
1.2.2.1气胸预防 通气模式选择为呼吸末正压模式,避免发生肺不张等问题,依据患儿血气分析结果对通气参数进行调整,尽量缩短呼吸机的使用时间,如有异常及时进行对症处理。
1.2.2.2护理干预 积极预防腹腔继发性感染,定时更换胸腔引流瓶,落实无菌操作;控制好夹引流管的时间,避免出现引流不畅等问题;密切观察患儿的呼吸情况,采用适宜的抗生素预防感染,定时对患儿进行翻身、拍背,给予吸痰。密切观察患儿病情的变化情况,及时给予对症处理。留置针后与引流管、水封瓶连接,于患儿胸腔水平下70 cm左右置放水封瓶。定时对引流管进行挤压,避免出现阻塞问题;对留置针进行妥善固定,检查引流管的通畅情况;对患儿进行吸痰、拍背时,避免引流管打折,维持引流管的通畅。, 百拇医药(孙裕萍 刘春)
参见:首页 > 医疗版 > 疾病专题 > 心血管科 > 心脏病知识 > 先天性心脏病