中华护理杂志 ›› 2019, Vol. 54 ›› Issue (5): 686-689.DOI: 10.3761/j.issn.0254-1769.2019.05.010

• 专科实践与研究 • 上一篇    下一篇

支气管动脉栓塞术治疗咯血患儿的围手术期护理

刘婷,韩晓蓉,刘文静,郭磊,赵肖群,刘宝燕,张兆芳   

  1. 250022 济南市山东大学齐鲁儿童医院血管瘤科&介入医学科(刘婷,郭磊,赵肖群,刘宝燕),呼吸介入科(韩晓蓉,刘文静),护理部(张兆芳)
  • 收稿日期:2018-08-29 出版日期:2019-05-15 发布日期:2019-05-05
  • 作者简介:刘婷,女:本科,主管护师,副护士长,E-mail: 123110435@qq.com

Perioperative nursing experience of 32 cases of children who had hemoptysis treated with bronchial artery embolization

LIU Ting,HAN Xiaorong,LIU Wenjing,GUO Lei,ZHAO Xiaoqun,LIU Baoyan,ZHANG Zhaofang   

  • Received:2018-08-29 Online:2019-05-15 Published:2019-05-05

摘要:

介绍32例支气管动脉栓塞术治疗咯血患儿的围手术期护理方法。 护理要点:术前正确评估病情、警惕窒息、及时抢救、实施个性化心理护理;术后合理镇静、有效制动、预防血栓形成和对比剂肾病、进行并发症护理及用药护理。通过系统、规范的护理,除1例因家长个人原因放弃治疗外,其余31例均恢复良好,围手术期未发生严重并发症。

关键词: 儿童, 咯血, 支气管动脉栓塞, 围手术期护理

Abstract:

This article summarized perioperative nursing experience of 32 cases of hemoptysis in children treated with bronchial artery embolization. Key points of nursing included: correct preoperative evaluation of patients’ condition,wariness on asphyxia,timely standardized rescue,implementation of individualized psychological care;reasonablepostoperative sedation, immobility and prevention of hemorrhage at insertion site,prevention of thrombosis,reasonable hydration and prevention of contrast-associated nephropathy,as well as nursing for complications and medication. Through systematic and regulated nursing,31 cases gained good recovery without any severe perioperative complications, except that one case gave up treatment.

Key words: Child, Hemoptysis, Bronchial Artery Embolization, Perioperative Nursing