ISSN 2096-7446　CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (7): 610-612.doi: 10.3761/j.issn.2096-7446.2023.07.007

• 危重患儿与孕产妇护理专题 • 上一篇    下一篇

密闭车厢滞留致重症中暑患儿的急救护理

叶丹娟 陈丽霞   

  • 出版日期:2023-07-10 发布日期:2023-07-10

Emergency nursing of a child with severe heat stroke caused by trapped in a closed compartment

YE Danjuan，CHEN Lixia   

  • Online:2023-07-10 Published:2023-07-10

摘要：

总结1例6岁儿童被遗留在密闭汽车车厢内导致重症中暑的急救护理体会。针对重症中暑患儿热性窒息、体液丢失、反复高热惊厥抽搐等主要问题，采取联合降温技术，持续核心温度监测；目标导向性容量管理，维持水、电解质、酸碱平衡；人工气道管理，有效保持气道通畅；反复惊厥抽搐发作护理；家庭参与式护理。经过6 h急诊多学科的紧急救治与精准护理，患儿顺利转入急诊重症监护室继续治疗，后期转院康复治疗。1个月后随访，患儿预后良好。

关键词: 儿童, 中暑, 体温过高, 惊厥, 急症护理

Abstract: Summarize the emergency care experience of severe heart stroke in a 6-year- old child who was left in a closed car carriage. To solve the major problems such as thermal asphyxia，body fluid loss，repeated febrile convulsions，we implemented combined cooling technology，continuous core temperature monitoring，target-oriented capacity management to maintain the balance of water，electrolyte and acid-base，the management of artificial airway to effectively keep the airway unobstructed，case of repeated convulsive seizures，and family participatory care. After 6 h of emergency multidisciplinary emergency treatment and precision care，the child was successfully transferred to the emergency intensive care unit for further treatment，and later transferred to the other hospital for rehabilitation treatment. After a follow-up of one month，the child had a good prognosis.

Key words: Child, Heat Stroke, Hyperthermia, Convulsions, Emergency Nursing