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
急症护理研究

难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理

  • 周军 ,
  • 陈阮 ,
  • 诸纪华
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  • 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CICU(周军),国际病房(陈阮),护理部(诸纪华)
周军:男,本科,主管护师,副护士长,E-mail:6513253@zju.edu.cn
诸纪华,E-mail:jihuazhu@zju.edu.cn

收稿日期: 2024-12-04

  网络出版日期: 2025-06-06

Nursing care of a child with refractory mycoplasma pneumonia complicated with right ventricular thrombosis and pulmonary embolism

  • ZHOU Jun ,
  • CHEN Ruan ,
  • ZHU Jihua
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Received date: 2024-12-04

  Online published: 2025-06-06

摘要

总结1例难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理体会。针对该患儿心室内血栓和肺栓塞临床表现不典型、病情凶险、溶栓易发生出血及血栓脱落等护理难点,采取早期进行肺栓塞危险分层评估,制订精准溶栓方案,动态监测溶栓效果,及时发现再栓塞症状等措施。经过23 d的治疗与护理,患儿病情稳定出院。随访1个月,患儿恢复良好。

本文引用格式

周军 , 陈阮 , 诸纪华 . 难治性支原体肺炎患儿并发右心室血栓与肺栓塞的护理[J]. 中华急危重症护理杂志, 2025 , 6(6) : 700 -703 . DOI: 10.3761/j.issn.2096-7446.2025.06.011

Abstract

To summarize the nursing experience of a child with refractory mycoplasma pneumoniae pneumonia complicated by right ventricular thrombosis and pulmonary embolism. Due to the atypical clinical manifestations,critical condition,and nursing challenges such as high risk of bleeding during thrombolysis and potential thrombus dislodgement,the following strategies were implemented,including early risk stratification assessment for pulmonary embolism,formulation of a precise thrombolytic regimen,dynamic monitoring of thrombolytic efficacy,and timely detection of re-embolism symptoms. After 23 days of treatment and specialized care,the patient stabilized and was discharged. Follow-up at one month showed favorable recovery.

参考文献

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