143例缺铁性贫血婴幼儿术前静脉输注铁剂的护理

doi:10.3761/j.issn.0254-1769.2019.02.017

摘要/Abstract

摘要：

总结143例缺铁性贫血婴幼儿术前静脉输注铁剂治疗的护理经验。护理要点包括：正确配置药液,密切观察过敏反应,合理选择静脉通路,积极预防和处理静脉炎和铁剂渗漏,做好铁剂治疗的宣教。所有患儿在治疗期间肝肾功能均无异常,2例发生心率增快,2例发生静脉炎,7例发生穿刺点周围色素沉着,经过积极处理后,患儿心率恢复正常、静脉炎好转、色素沉着消退。经过静脉铁剂治疗后,143例缺铁性贫血婴幼儿红细胞计数、血红蛋白、红细胞压积、平均红细胞容积、平均红细胞血红蛋白量均明显上升,其中112例铁剂疗程结束后顺利进行手术,24例继续行铁剂治疗,7例失访。

关键词: 贫血, 缺铁性, 手术前护理, 静脉铁剂, 儿科护理学, 注射, 静脉内

Abstract:

This article summarized the nursing experience of 143 infants and children with iron deficiency anemia who received intravenous iron agent before operation. The key points of nursing included：proper preparation of liquid medicine,close observation of allergic reaction,rational selection of venous access,active prevention and treatment of phlebitis and leakage,and health education of iron treatment. All infants had no abnormal liver and kidney function during treatment,2 cases had increased heart rate,2 cases had phlebitis and 7 cases had pigmentation around the puncture site. These infants had normal heart rate,phlebitis was improved and pigmentation subsided after intervention. After intravenous iron treatment,the red blood cell count,hemoglobin,hematocrit,average red blood cell volume and average red blood cell hemoglobin of 143 infants increased significantly,and 112 received the surgery successfully after the iron treatment,while 24 continued the iron treatment,and 7 were lost to follow-up.

Key words: Anemia, Iron-Deficiency, Preoperative Care, Intravenous Iron, Pediatric Nursing, Injection, Intravenous

徐建英,诸纪华,徐玮泽,叶肖栗. 143例缺铁性贫血婴幼儿术前静脉输注铁剂的护理[J]. 中华护理杂志, 2019, 54(2): 254-257.

XU Jianying,ZHU Jihua,XU Weize,YE Xiaoli. Nursing care of 143 infants with iron deficiency anemia treated with iron agent before operation[J]. Chinese Journal of Nursing, 2019, 54(2): 254-257.

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