中华护理杂志 ›› 2023, Vol. 58 ›› Issue (23): 2910-2914.DOI: 10.3761/j.issn.0254-1769.2023.23.013

• 个案研究 • 上一篇    下一篇

1例Berry综合征患儿行早期根治术的围手术期护理

许如青(), 诸纪华, 周军, 夏姗姗, 李慧, 丁亚平()   

  1. 310052 杭州市 浙江大学医学院附属儿童医院心脏重症监护室(许如青,周军),护理部(诸纪华),儿科重症监护病房(夏珊珊,李慧,丁亚平)
  • 收稿日期:2023-06-01 出版日期:2023-12-10 发布日期:2023-12-12
  • 通讯作者: 丁亚平,E-mail:6518147@zju.edu.cn
  • 作者简介:许如青:男,本科,护师,E-mail:6512217@zju.edu.cn

Perioperative nursing care of a child with Berry syndrome recognized by radical surgery

XU Ruqing(), ZHU Jihua, ZHOU Jun, XIA Shanshan, LI Hui, DING Yaping()   

  • Received:2023-06-01 Online:2023-12-10 Published:2023-12-12

摘要:

总结1例Berry综合征患儿行早期根治术的围手术期护理经验。术前护理要点:预防心力衰竭;警惕下肢缺血缺氧。术后护理要点:维持心功能稳定;警惕肺动脉高压危象;保障延迟关胸期间的安全;实施个性化营养支持;重视心理护理、出院宣教及延续性护理。经过54 d的精心治疗及护理,患儿病情好转,顺利出院。出院后1个月随访,恢复良好。

关键词: Berry综合征, 肺动脉高压, 围手术期护理, 儿科护理学

Abstract:

To summarize the perioperative nursing experience of a child with Berry syndrome who underwent radical surgery. The key points of preoperative care include the prevention of heart failure and vigilance against ischemia and hypoxia in the lower limbs. The key points of postoperative care include maintaining stable cardiac function,preventing pulmonary hypertension crisis,ensuring safe transition during delayed chest closure,paying attention to psychological support,and emphasizing continuous care. After 54 days of careful treatment and nursing care,the child recovered well and was discharged from the hospital. The follow-up was couducted a month after discharge,and the child was good.

Key words: Berry Syndrome, Pulmonary Hypertension, Perioperative Care, Pediatric Nursing