生存极限早产儿支气管肺发育不良合并肺大疱的护理

doi:10.3761/j.issn.2096-7446.2026.02.013

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 204-206.doi: 10.3761/j.issn.2096-7446.2026.02.013

生存极限早产儿支气管肺发育不良合并肺大疱的护理

丁乙(), 唐熙, 陆胜利, 黄园, 吕天婵^*()

复旦大学附属儿科医院早产儿重症监护室上海市 201102

收稿日期:2025-05-13 出版日期:2026-02-10 发布日期:2026-02-02
通讯作者: 吕天婵 E-mail:773003454@qq.com;lvtianchan1988@aliyun.com
作者简介:丁乙：女，本科，护师，E-mail：773003454@qq.com

Nursing care for bronchopulmonary dysplasia combined with pulmonary bullae in an extremely preterm infant with survival limit

DING Yi(), TANG Xi, LU Shengli, HUANG Yuan, LÜ Tianchan^*()

Preterm Intensive Care Unit， Children’s Hospital of Fudan University， Shanghai 201102， China.

Received:2025-05-13 Online:2026-02-10 Published:2026-02-02
Contact: Lü Tianchan E-mail:773003454@qq.com;lvtianchan1988@aliyun.com

摘要/Abstract

摘要：

总结1例胎龄23⁺¹周生存极限早产儿支气管肺发育不良合并先天性肺大疱的护理体会。针对患儿超早产、低体重、肺部条件差、手术风险极高等问题，采用个体化气道护理；避免非计划性拔管；制订肺大疱抢救流程；重视胸腔闭式引流护理；动态监测感染指标；实施家庭参与式照护等护理措施。患儿住院158 d后呼吸平稳、喂养耐受，顺利出院。现随访至8+月，患儿体重增至8.9 kg，正逐步追赶生长，一般状况良好。

关键词: 婴儿, 极度早产, 支气管肺发育不良, 肺大疱, 发育支持, 危重病护理

Abstract:

To summarize the nursing experience of a premature infant with bronchopulmonary dysplasia and congenital pulmonary bullae at a gestational age of 23⁺¹ week with a survival limit. In response to the infant with extremely premature birth，low body weight，poor lung conditions and extremely high surgical risks，key points of nursing care included individualized airway care，avoiding unplanned extubation，formulation of the rescue process for pulmonary bullae，attaching importance to the nursing of closed thoracic drainage，dynamic monitoring of infection indicators，implementation of family integrated care and other nursing measures. The infant was discharged from the hospital smoothly after 158 days of hospitalization，with stable breathing and feeding tolerance. She has been followed up for more than 8 months. Her weight has increased to 8.9 kg and she was gradually catching up. Her general condition was good.

Key words: Infant, Extremely Premature, Bronchopulmonary Dysplasia, Pulmonary Bulla, Development Supportive, Critical Care Nursing

丁乙, 唐熙, 陆胜利, 黄园, 吕天婵. 生存极限早产儿支气管肺发育不良合并肺大疱的护理[J]. 中华急危重症护理杂志, 2026, 7(2): 204-206.

DING Yi, TANG Xi, LU Shengli, HUANG Yuan, LÜ Tianchan. Nursing care for bronchopulmonary dysplasia combined with pulmonary bullae in an extremely preterm infant with survival limit[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 204-206.

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生存极限早产儿支气管肺发育不良合并肺大疱的护理

Nursing care for bronchopulmonary dysplasia combined with pulmonary bullae in an extremely preterm infant with survival limit

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