超低出生体重儿支气管肺发育不良经口盲置空肠管的护理

doi:10.3761/j.issn.2096-7446.2024.12.005

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (12): 1088-1090.doi: 10.3761/j.issn.2096-7446.2024.12.005

超低出生体重儿支气管肺发育不良经口盲置空肠管的护理

陈锦秀, 程玉超, 王珊, 李畅妍, 余艮珍, 易君丽

430030 武汉市华中科技大学同济医学院附属同济医院儿童重症医学科

收稿日期:2024-03-05 发布日期:2024-12-10
通讯作者: 易君丽,E-mail：16290405@qq.com
作者简介:陈锦秀：女,硕士,副主任护师,E-mail：350506589@qq.com

Nursing care of an extremely low birth weight preterm infant with bronchopulmonary dysplasia undergoing transoral blind jejunal tube placement

CHEN Jinxiu, CHENG Yuchao, WANG Shan, LI Changyan, YU Genzhen, YI Junli

Received:2024-03-05 Published:2024-12-10

摘要/Abstract

摘要： 总结1例超低出生体重儿合并支气管肺发育不良因胃食管反流致频繁心搏骤停,实施经口盲置空肠管维持肠内营养的护理体会。护理要点：预防误吸风险,精细化气道管理;盲置空肠管术中要点;妥善固定导管,加强观察和处理;改良喂养和维护方式,保障导管通畅。经过精心的空肠管置入围手术期护理,患儿生命体征趋于平稳,并逐渐改为经口进食,体重增长良好,无不良反应,于住院131 d后好转出院。

关键词: 超低出生体重儿, 经口盲置, 空肠置管, 危重病护理

Abstract: To summarize the nursing experience of an extremely low birth weight preterm infant combined with bronchopulmonary dysplasia who suffered from repeated cardiac arrest due to gastroesophageal reflux and received transoral blind placement of jejunal tube to maintain enteral nutrition. Nursing points included prevention of aspiration risk and refined airway management,nursing during blind jejunal tube placement,proper fixation of the catheter and strengthening observation and treatment,improving the feeding and maintenance methods to ensure the smoothness of the catheter. After careful perioperative care of jejunal tube placement,the child‘s vital signs gradually stabilized,and gradually changed to oral feeding,with good weight gain and no adverse reactions,and he was discharged after 131 d of hospitalization.

Key words: Extremely Low Birth Weight Infant, Transoral Blind Placement, Jejunum Catheterization, Critical Care Nursing

陈锦秀, 程玉超, 王珊, 李畅妍, 余艮珍, 易君丽. 超低出生体重儿支气管肺发育不良经口盲置空肠管的护理[J]. 中华急危重症护理杂志, 2024, 5(12): 1088-1090.

CHEN Jinxiu, CHENG Yuchao, WANG Shan, LI Changyan, YU Genzhen, YI Junli. Nursing care of an extremely low birth weight preterm infant with bronchopulmonary dysplasia undergoing transoral blind jejunal tube placement[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(12): 1088-1090.

参考文献

[1] 邵肖梅. 实用新生儿学[M]. 5版. 北京:人民卫生出版社,2019:57,633-634,855-858.
Shao XM. Practical Neonatology[M]. Fifth version. BeiJing:People‘s Medical Publishig House,2019:57,633-634,855-858.
[2] 李金洋,石秦川,胡晓山,等. 胎龄≤32周早产儿中重度支气管肺发育不良与早期母乳喂养的相关性分析[J]. 实用临床医药杂志,2024,28(06):79-82+93.
Li JY,Shi QC,Hu XS,et al. Correlation between moderate to severe bronchopulmonary dysplasia and early breastfeeding in preterm infants with a gestational age of ≤32weeks[J]. J Clin Med Pract,2024,28(06):79-82+93.
[3] 杨勇晖,贺晓日,张雪菲,等. 极早早产儿支气管肺发育不良的临床特征[J]. 中南大学学报(医学版),2023,48(10):1592-1601.
Yang YH,He XR,Zhuang XF,et al.Clinical characteristics of bronchopulmonary dysplasia in very preterm infants[J]. J Cent South Univ(Med Sci),2023,48(10):1592-1601.
[4] Wemhöner A,Ortner D,Tschirch E,et al. Nutrition of preterm infants in relation to bronchopulmonary dysplasia[J]. BMC Pulm Med.2011,3;11:7.
[5] Giannì ML,Roggero P,Colnaghi MR,et al. The role of nutrition in promoting growth in pre-term infants with bronchopulmonary dysplasia:a prospective non-randomised interventional cohort study[J]. BMC Pediatr,2014,22;14:235.
[6] Wang B,Sun J,Sun Y,et al.A clinical analysis of very and extremely low birth weight preterm infants[J]. Am J Transl Res, 2021,13(8):9395-9403.
[7] 李佳涛,王欣,高玉先,等. 体位角度对极低出生体重儿胃食管反流及胃排空的影响[J]. 护理研究,2023,37(9):1649-1652.
Li JT,Wang X,Gao YX,et al.Effect of postural angle on gastroesophageal reflux and gastric emptying in very low birth weight infants[J]. Chin Nurs Res,2023,37(9):1649-1652.
[8] Wallenstein MB,Stevenson DK.Need for reassessment of early transpyloric feeding in preterm infants[J]. JAMA Pediatr,2018, 172(11):1004-1005.
[9] Wallenstein MB,Brooks C,Kline TA,et al.Early transpyloric vs gastric feeding in preterm infants:a retrospective cohort study[J]. J Perinatol. 2019;39(6):837-841.
[10] 封云,邱洁,陈俊,等. 不同喂养方式对极低出生体质量儿胃肠功能影响的比较[J]. 肠外与肠内营养,2017,24(4):213-215,220.
Feng Y,Qiu J,Chen J,et al.Comparison of the gastrointestinal function in very lowbirth weight infants among different modes of feeding[J]. Parenter Enteral Nutr,2017,24(4):213-215,220.
[11] Farhath S,He ZP,Nakhla T,et al.Pepsin,a marker of gastric contents,is increased in tracheal aspirates from preterm infants who develop bronchopulmonary dysplasia[J]. Pediatrics,2008,121(2):e253-e259.

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超低出生体重儿支气管肺发育不良经口盲置空肠管的护理

Nursing care of an extremely low birth weight preterm infant with bronchopulmonary dysplasia undergoing transoral blind jejunal tube placement

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