烟花烧伤复合腹腔爆震伤患儿的围手术期护理

doi:10.3761/j.issn.2096-7446.2024.02.005

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (2): 124-127.doi: 10.3761/j.issn.2096-7446.2024.02.005

烟花烧伤复合腹腔爆震伤患儿的围手术期护理

周琼俏, 朱红梅, 诸纪华, 朱双萍, 何洁, 陈小丽

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普外胃肠中心

收稿日期:2023-05-01 出版日期:2024-02-10 发布日期:2024-02-20
通讯作者: 朱红梅,E-mail：6299021@zju.edu.cn
作者简介:周琼俏：女,本科,主管护师,E-mail：6512284@zju.edu.cn
基金资助:
浙江省教育厅自然科学基金（Y202250107）

Perioperative nursing of a child with fireworks burn combined with abdominal blast injury

ZHOU Qiongqiao, ZHU Hongmei, ZHU Jihua, ZHU Shuangping, HE Jie, CHEN Xiaoli

Received:2023-05-01 Online:2024-02-10 Published:2024-02-20

摘要/Abstract

摘要： 总结1例烟花烧伤复合腹腔爆震伤患儿的围术期护理体会。针对早期腹部伤口及脏器持续出血、术后腹腔感染、损伤后并发症等问题,采取早期快速评估、高效抗休克救护,术后多措施联合控制感染,加强并发症的观察和对症处理,对疼痛采用个性化护理,以及动态评估并实施肠内营养等措施,经36 d治疗和护理,患儿康复出院。

关键词: 爆震伤, 烧伤, 腹腔感染, 围手术期护理, 疼痛, 手术后

Abstract: To summarize the perioperative nursing experience of a child with fireworks burn combined with abdominal blast injury. In view of the problems of early abdominal wound and organ continuous bleeding,postoperative abdominal infection and complications after injury,we adopted early rapid assessment,efficient anti-shock rescue,postoperative multi-measures combined with control of infection,and strengthening observation and symptomatic treatment of complications,personalized pain care,dynamic assessment and implementation of enteral nutrition and other nursing measures. After 36 days of treatment and nursing,the patient recovered and was discharged.

Key words: Blast Injury, Burn, Abdominal Infection, Perioperative Nursing, Pain, Postoperative

周琼俏, 朱红梅, 诸纪华, 朱双萍, 何洁, 陈小丽. 烟花烧伤复合腹腔爆震伤患儿的围手术期护理[J]. 中华急危重症护理杂志, 2024, 5(2): 124-127.

ZHOU Qiongqiao, ZHU Hongmei, ZHU Jihua, ZHU Shuangping, HE Jie, CHEN Xiaoli. Perioperative nursing of a child with fireworks burn combined with abdominal blast injury[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(2): 124-127.

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烟花烧伤复合腹腔爆震伤患儿的围手术期护理

Perioperative nursing of a child with fireworks burn combined with abdominal blast injury

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