1例贝赫切特综合征患儿行心脏瓣膜置换术后并发脑卒中的护理

doi:10.3761/j.issn.0254-1769.2023.04.011

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (4): 459-462.DOI: 10.3761/j.issn.0254-1769.2023.04.011

1例贝赫切特综合征患儿行心脏瓣膜置换术后并发脑卒中的护理

胡欣欣(), 丁玥, 邓玉华, 方蘅英, 潘英华()

510630 广州市中山大学附属第三医院风湿免疫科

收稿日期:2022-05-05 出版日期:2023-02-20 发布日期:2023-02-21
通讯作者: 潘英华，E-mail：panyinghua2012@163.com
作者简介:胡欣欣：女，本科，护师，E-mail：hxx18336376963@126.com
基金资助:
广东省医学科研基金项目(A2020127)

Nursing care of a child with Behcet syndrome complicated with stroke after heart valve replacement

HU Xinxin(), DING Yue, DENG Yuhua, FANG Hengying, PAN Yinghua()

Received:2022-05-05 Online:2023-02-20 Published:2023-02-21

摘要/Abstract

摘要：

总结1例贝赫切特综合征心脏瓣膜置换术后并发脑卒中患儿的护理经验。护理要点：重视心功能监测，警惕心脏并发症的发生；加强术后血栓形成、出血风险的监测及管理，预防相关并发症；进行分阶段康复训练，促进患儿肢体康复；开展营养评估，实施个性化营养支持；做好皮肤及黏膜护理，促进溃疡愈合；注重人文关怀及出院宣教，加强出院后随访。经过20 d精心的护理，患儿恢复良好，顺利出院。随访1年，患儿的生活和学习均恢复正常。

关键词: 贝赫切特综合征, 心脏瓣膜置换术, 卒中, 康复护理, 儿科护理学

Abstract:

The nursing experience of a child with Behcet syndrome complicated with stroke after heart valve replacement is summarized. Nursing points include surveillance of cardiac function to avoid cardiac complications，prevention of bleeding and thrombosis，phased rehabilitation exercise to promote hemiplegia limb function recovery，precise nutritional support to improve nutritional status，mucosal and perianal care to enhance ulcer healing，humanistic care and discharge education and follow-up. After 20 days of treatment and nursing care，the patient recovered well and was discharged. During 1-year follow-up，the child was in fair conditions.

Key words: Behcet Syndrome, Heart Valve Replacement, Stroke, Rehabilitation Nursing, Pediatric Nursing

胡欣欣, 丁玥, 邓玉华, 方蘅英, 潘英华. 1例贝赫切特综合征患儿行心脏瓣膜置换术后并发脑卒中的护理[J]. 中华护理杂志, 2023, 58(4): 459-462.

HU Xinxin, DING Yue, DENG Yuhua, FANG Hengying, PAN Yinghua. Nursing care of a child with Behcet syndrome complicated with stroke after heart valve replacement[J]. Chinese Journal of Nursing, 2023, 58(4): 459-462.

参考文献 15

[1]	Li CR, Li L, Wu XH, et al. Clinical manifestations of Behcet’s disease in a large cohort of Chinese patients:gender-and age-related differences[J]. Clin Rheumatol, 2020, 39(11):3449-3454. DOI URL
[2]	Pain CE, Beresford MW, Fortune F, et al. Behcet’s syndrome in children and young people in the United Kingdom and the Republic of Ireland:a prospective epidemiological study[J]. Rheumatology(Oxford), 2021, 60(10):4728-4736. DOI URL
[3]	Guzelkucuk Z, Gurlek Gokcebay D, Arman Bilir O, et al. Children with Behcet disease-associated thrombosis:a single-center experience[J]. J Pediatr Hematol Oncol, 2021, 43(1):e15-e18. DOI URL
[4]	Cubero-Gallego H, Pascual I, Rozado J, et al. Cerebral protection devices for transcatheter aortic valve replacement[J]. Ann Transl Med, 2019, 7(20):584. DOI PMID
[5]	朱锋, 郭文秀, 王海龙, 等. 经导管主动脉瓣置换术的临床应用及其瓣膜选择、瓣膜耐用性问题的研究进展[J]. 实用心脑肺血管病杂志, 2022, 30(6):120-124.
	Zhu F, Guo WX, Wang HL, et al. Research progress on clinical application of transcatheter aortic valve replacement,valve selection and valve durability[J]. Pract J Cardiac Cereb Pneumal Vasc Dis, 2022, 30(6):120-124.
[6]	Huded CP, Tuzcu EM, Krishnaswamy A, et al. Association between transcatheter aortic valve replacement and early postprocedural stroke[J]. JAMA, 2019, 321(23):2306-2315. DOI PMID
[7]	Felling RJ, Sun LR, Maxwell EC, et al. Pediatric arterial ischemic stroke:epidemiology,risk factors,and management[J]. Blood Cells Mol Dis, 2017, 67:23-33. DOI URL
[8]	Etnel JR, Elmont LC, Ertekin E, et al. Outcome after aortic valve replacement in children:a systematic review and Meta-analysis[J]. J Thorac Cardiovasc Surg, 2016, 151(1):143-152. DOI URL
[9]	朱金凤, 张远星, 王芳, 等. 脑卒中患者远程康复运动管理有效性及安全性的系统评价再评价[J]. 中华护理杂志, 2022, 57(12):1447-1455. DOI
	Zhu JF, Zhang YX, Wang F, et al. The effectiveness and safety of telerehabilitation management in stroke patients:an overview of systematic reviews[J]. Chin J Nurs, 2022, 57(12):1447-1455.
[10]	孙梦珠, 肖伟, 章显宝, 等. 针灸治疗中风后肢体功能障碍近5年临床研究概况[J]. 辽宁中医药大学学报, 2017, 19(12):168-170.
	Sun MZ, Xiao W, Zhang XB, et al. Clinical research of acupuncture on treating physical dysfunction after stroke in recent five years[J]. J Liaoning Univ Tradit Chin Med, 2017, 19(12):168-170.
[11]	冉鹏飞, 王艳敏, 张晨峰, 等. 分部分期针刺联合Bobath技术在脑卒中偏瘫患者治疗中的应用[J]. 世界中西医结合杂志, 2022, 17(1):142-146.
	Ran PF, Wang YM, Zhang CF, et al. Application of partial acupuncture combined with bobath technique in the treatment of stroke patients with hemiplegia[J]. World J Integr Tradit West Med, 2022, 17(1):142-146.
[12]	王文娜, 张振香, 梅永霞, 等. 脑卒中患者与照顾者自我护理体验的Meta整合[J]. 中华护理杂志, 2022, 57(10):1247-1255. DOI
	Wang WN, Zhang ZX, Mei YX, et al. Experience of stroke survivors and caregivers on self-care:a Meta-synthesis of qualitative research[J]. Chin J Nurs, 2022, 57(10):1247-1255.
[13]	Tume LN, Valla FV, Joosten K, et al. Nutritional support for children during critical illness:European Society of Pediatric and Neonatal Intensive Care(ESPNIC) metabolism,endocrine and nutrition section position statement and clinical recommendations[J]. Intensive Care Med, 2020, 46(3):411-425. DOI URL
[14]	刘金武, 张中会, 赵延真, 等. 白塞病患者临床特点及性别差异分析[J]. 风湿病与关节炎, 2022, 11(2):25-28,42.
	Liu JW, Zhang ZH, Zhao YZ, et al. Analysis of clinical characteristics and gender differences in patients with Behcet’s disease[J]. Rheum Arthritis, 2022, 11(2):25-28,42.
[15]	李建国, 王媛, 周志轩, 等. 儿童白塞病27例病例系列报告[J]. 中国循证儿科杂志, 2018, 13(5):327-331.
	Li JG, Wang Y, Zhou ZX, et al. Retrospective analysis of 27 Chinese children with Behcet’s disease[J]. Chin J Evid Based Pediatr, 2018, 13(5):327-331.

1例贝赫切特综合征患儿行心脏瓣膜置换术后并发脑卒中的护理

Nursing care of a child with Behcet syndrome complicated with stroke after heart valve replacement

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 15

相关文章 15

编辑推荐

Metrics

[1]	夏瑶瑶, 李颐, 熊晓云, 周亮, 王艳慧, 马兰英. 经皮冠状动脉介入治疗患者心脏康复信息需求和自我管理的研究[J]. 中华护理杂志, 2023, 58(4): 398-405.
[2]	于甜栖, 孙国珍, 高敏, 王洁, 刘沈馨雨, 黄杨曦, 鲍志鹏. 慢性心力衰竭患者运动康复参与护理干预方案的构建[J]. 中华护理杂志, 2023, 58(4): 414-420.
[3]	陈建静, 谢幸尔, 储红梅, 蔡义红, 曹秋月, 张敏. 老年慢性心力衰竭患者积极运动体验的质性研究[J]. 中华护理杂志, 2023, 58(4): 421-425.
[4]	刘秀, 刘滨滨, 权明桃, 詹炜丽, 杨登碧, 张佳薪. ICU机械通气患者膈肌锻炼方案的构建及应用研究[J]. 中华护理杂志, 2023, 58(3): 261-267.
[5]	崔雪岩, 张金华, 周小琰, 王宸珂, 王若雨. 老年脑梗死患者康复护理方案的构建及应用[J]. 中华护理杂志, 2023, 58(3): 268-765.
[6]	段春梅, 王媛媛, 王玲玲. 多模块康复护理模式在脑卒中患者智能化随访中的应用效果[J]. 中华护理杂志, 2023, 58(3): 276-281.
[7]	谭绍英, 林晓丽, 刘赞, 王丹心, 吴尧, 王涛. 重复经颅磁刺激联合认知训练对缺血性脑卒中患者淡漠的效果研究[J]. 中华护理杂志, 2023, 58(3): 282-288.
[8]	唐宝丽, 吕玉华, 王线妮, 徐萍, 曹静, 谢明, 王亮亮, 常婷. 首发缺血性脑卒中患者感知复发风险现况及影响因素研究[J]. 中华护理杂志, 2023, 58(3): 289-295.
[9]	张远星, 何磊, 靳千胜, 胡宇帆, 季翠玲, 陈璐. 虚拟现实语言训练对卒中后失语患者干预效果的Meta分析[J]. 中华护理杂志, 2023, 58(3): 296-303.
[10]	桑玉还, 严忠婷, 袁媛, 高云飞, 鞠梅. 生态瞬时评估在脑卒中患者中应用的范围综述[J]. 中华护理杂志, 2023, 58(3): 304-310.
[11]	徐昱璐, 顾莺, 朱孟欣, 任玥宏, 陈燕, 龚卫娟, 王慧美, 宓亚平, 贾兵. 俯卧位通气在先天性心脏病术后急性肺损伤患儿中的应用效果[J]. 中华护理杂志, 2023, 58(3): 311-317.
[12]	仇凌晶, 缪群芳, 舒婉, 李静依. 非自杀性自伤青少年自我表露意愿及期待的质性研究[J]. 中华护理杂志, 2023, 58(2): 192-197.
[13]	黄子旋, 冷虹瑶, 沈巧, 易敏, 郑显兰. 29所三级医院儿科护士对儿童早期预警系统的认知及应用现状调查[J]. 中华护理杂志, 2023, 58(2): 198-204.
[14]	中华护理学会内科专业委员会, 首都医科大学宣武医院, （执笔：常红, 张素, 范凯婷, 赵洁, 田思颖）. 急性缺血性脑卒中静脉溶栓护理指南[J]. 中华护理杂志, 2023, 58(1): 10-14.
[15]	胡恩慧, 沈小芳, 李红艳, 徐妍妍, 秦学娟. 预防卒中相关性肺炎非人工气道护理方案构建[J]. 中华护理杂志, 2023, 58(1): 15-22.