难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理

doi:10.3761/j.issn.2096-7446.2025.06.011

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (6): 700-703.doi: 10.3761/j.issn.2096-7446.2025.06.011

难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理

周军(), 陈阮, 诸纪华()

310052 杭州市国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院CICU（周军），国际病房（陈阮），护理部（诸纪华）

收稿日期:2024-12-04 出版日期:2025-06-10 发布日期:2025-06-06
通讯作者: 诸纪华，E-mail：jihuazhu@zju.edu.cn
作者简介:周军：男，本科，主管护师，副护士长，E-mail：6513253@zju.edu.cn

Nursing care of a child with refractory mycoplasma pneumonia complicated with right ventricular thrombosis and pulmonary embolism

ZHOU Jun(), CHEN Ruan, ZHU Jihua()

Received:2024-12-04 Online:2025-06-10 Published:2025-06-06

摘要/Abstract

摘要：

总结1例难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理体会。针对该患儿心室内血栓和肺栓塞临床表现不典型、病情凶险、溶栓易发生出血及血栓脱落等护理难点，采取早期进行肺栓塞危险分层评估，制订精准溶栓方案，动态监测溶栓效果，及时发现再栓塞症状等措施。经过23 d的治疗与护理，患儿病情稳定出院。随访1个月，患儿恢复良好。

关键词: 肺炎支原体, 心脏栓塞, 肺栓塞, 儿科护理学, 急症护理

Abstract:

To summarize the nursing experience of a child with refractory mycoplasma pneumoniae pneumonia complicated by right ventricular thrombosis and pulmonary embolism. Due to the atypical clinical manifestations，critical condition，and nursing challenges such as high risk of bleeding during thrombolysis and potential thrombus dislodgement，the following strategies were implemented，including early risk stratification assessment for pulmonary embolism，formulation of a precise thrombolytic regimen，dynamic monitoring of thrombolytic efficacy，and timely detection of re-embolism symptoms. After 23 days of treatment and specialized care，the patient stabilized and was discharged. Follow-up at one month showed favorable recovery.

Key words: Mycoplasma Pneumoniae, Cardiac Embolism, Pulmonary Embolism, Pediatric Nursing, Emergency Nursing

周军, 陈阮, 诸纪华. 难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理[J]. 中华急危重症护理杂志, 2025, 6(6): 700-703.

ZHOU Jun, CHEN Ruan, ZHU Jihua. Nursing care of a child with refractory mycoplasma pneumonia complicated with right ventricular thrombosis and pulmonary embolism[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 700-703.

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难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理

Nursing care of a child with refractory mycoplasma pneumonia complicated with right ventricular thrombosis and pulmonary embolism

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