总结1例脑干肿瘤术后患儿并发神经源性肺水肿的护理体会。护理要点:早期识别,高效救护;强化气道管理,改善机体氧供;限制性液体管理;目标性镇静镇痛管理;心理护理。经过积极的救治与护理,患儿于术后第10天病情平稳后转入神经外科继续治疗,术后第33天康复出院。
To summarize the nursing experience of complicated neurogenic pulmonary edema after the surgery in a child with brain stem tumor. Important nursing points:early identification and efficient emergency care,strengthening of airway management and improving the body's oxygen supply,restrictive liquid management and target sedative analgesia management,and psychological care. After active treatment and nursing,the child was transferred to neurosurgery department after the postoperative condition was stable on the 10th day after surgery,and recovered and discharged on the 33rd day after the surgery.
[1] 蒋慧玲,吴丽仙,黄静. 小儿神经源性肺水肿的早期识别及护理[J]. 护理与康复,2015,14(1):47-49.
Jiang HL,Wu LX,Huang J.Early identification and nursing of pediatric neurogenic pulmonary edema[J]. Nurs Rehabil J,2015,14(1):47-49.
[2] 杨小华,李杨,曹雯,等.神经源性肺水肿研究进展[J].中国急救医学,2017,37(4):369-374.
Yang XH,Li Y,Cao W,et al.Research advances of neurogenic pulmonary edema[J]. Chin J Crit Care Med,2017,37(4):369-374.
[3] 胡冬英,马赟,于文敏. 定位协作抢救模式在心搏呼吸骤停患者模拟演练中的应用效果[J]. 中华危重症医学杂志(电子版),2019,12(1):67-69.
Hu DY,Ma Y,Yu WM.Application effect of positioning and cooperative rescue mode in the simulation exercise of patients with cardiac and respiratory arrest[J]. Chin Crit Care Med (Electron Ed),2019,12(1):67-69.
[4] 石凤姣,谭哲红,胡昱琼,等. 含漱液联合负压冲洗式刷牙预防呼吸机相关性肺炎的研究[J]. 中华急危重症护理杂志,2020, 1(5):398-401.
Shi FJ,Tan ZH,Hu YQ,et al.Study on the prevention of ventilator-associated pneumonia by brushing teeth with mouthwash[J]. Chin J Emerg Crit Care Nurs,2020,1(5):398-401.
[5] 中华医学会重症医学分会. 呼吸机相关性肺炎诊断、预防和治疗指南(2013)[J]. 中华内科杂志,2013,52(6):524-543.
Chinese Society of Critical Care Medicine. Guidelines for diagnosis,prevention and treatment of ventilator associated pneumonia(2013)[J]. Chin J Internal Med,2013,52(6):524-543.
[6] 熊小雨,许峰. 神经源性肺水肿的再认识[J]. 中国小儿急救医学,2018,25(4):246-249.
Xiong XY,Xu F.Rerecognition of neurogenic pulmonary edema[J]. Chin Pediatr Emerg Med,2018,25(4):246-249.