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。
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.
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