ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
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 (3): 229-231.doi: 10.3761/j.issn.2096-7446.2023.03.006

• 重症康复护理专题 • 上一篇    下一篇

儿茶酚胺敏感性室性心动过速致脑损伤患儿的康复护理

徐丹娜, 徐建仙, 胡辰琼, 吴玉珊, 徐袁聪, 何劼, 裘江英   

  1. 310052 杭州市 浙江大学医学院附属儿童医院骨科康复科
  • 收稿日期:2022-09-20 出版日期:2023-03-10 发布日期:2023-03-07
  • 通讯作者: 徐建仙,E-mail：6196013@zju.edu.cn
  • 作者简介:徐丹娜：女,本科,护师,E-mail：6514218@zju.edu.cn
  • 基金资助:
    浙江省医药卫生科技计划项目（2023KY130）

Rehabilitation nursing of a child with brain injury caused by catecholaminergic polymorphic ventricular tachycardia

XU Danna, XU Jianxian, HU Chenqiong, WU Yushan, XU Yuancong, HE Jie, QIU Jiangying   

  • Received:2022-09-20 Online:2023-03-10 Published:2023-03-07

PDF下载

摘要： 总结1例儿茶酚胺敏感性多形性室性心动过速（catecholaminergic polymorphic ventricular tachycardia,CPVT）患儿突发心搏骤停,经心肺复苏抢救成功后继发脑损伤的康复护理体会。因运动或情绪激动易诱发CPVT,护理上需注意安抚患儿,营造安静的病房环境;在持续心电监护下进行渐进性运动与认知语言康复,并做好个体化营养管理,以提高患儿生存质量。经过45 d的康复护理,患儿意识状态、语言认知及运动功能均较入院时明显改善,住院期间无CPVT发作,病情好转出院。

关键词: 儿茶酚胺类, 心动过速, 室性, 儿童, 脑损伤, 康复护理

Abstract: To summarize the rehabilitation nursing experience of a child with catecholamine sensitive polymorphic ventricular tachycardia（CPVT）who suffered from secondary brain injury after successful cardiopulmonary resuscitation. CPVT is easy to be induced by exercise or emotional excitement. Attention was paid to pacify children and create a quiet ward environment. Progressive exercise and cognitive language rehabilitation was carried out under continuous ECG monitoring,and individualized nutrition management was performed to improve the quality of life of the child. After 45 days of rehabilitation nursing,the children's consciousness,language cognition and motor function were significantly improved. During the hospitalization,there was no recurrence of CPVT. He was stable and discharged.

Key words: Catecholamines, Tachycardia, Ventricular, Child, Brain Injuries, Rehabilitation Nursing