中华护理杂志 ›› 2025, Vol. 60 ›› Issue (20): 2519-2522.DOI: 10.3761/j.issn.0254-1769.2025.20.013

• 疑难重症护理 • 上一篇    下一篇

1例类鼻疽感染患儿并发脓毒性休克的护理

李奇(), 毛依阳, 段颖杰(), 张凤云, 王旭   

  1. 100045 北京市 国家儿童医学中心/首都医科大学附属北京儿童医院重症医学科
  • 收稿日期:2024-12-25 出版日期:2025-10-20 发布日期:2025-10-11
  • 通讯作者: 段颖杰,E-mail:duanyingjie2007@126.com
  • 作者简介:李奇:女,本科,主管护师,E-mail:465020992@qq.com

The nursing care of a pediatric patient with melioidosis complicated by septic shock

LI Qi(), MAO Yiyang, DUAN Yingjie(), ZHANG Fengyun, WANG Xu   

  • Received:2024-12-25 Online:2025-10-20 Published:2025-10-11

摘要:

总结1例类鼻疽感染患儿并发脓毒性休克的护理经验。护理要点:合理安排药物顺序,确保多种药品联合使用的用药安全;全身抗感染治疗结合局部感染皮肤特殊处理,促进伤口愈合;针对类鼻疽的病菌特点,制订严格隔离及长期监测的医院感染防控措施;提升患儿及其家长的疾病应对能力,缓解负性情绪。经过100 d的积极治疗和精心护理,患儿病情好转出院。

关键词: 重症类鼻疽, 体外膜肺氧合, 儿科护理学

Abstract:

This article summarizes the nursing care of a pediatric patient with melioidosis complicated by septic shock. Key nursing interventions included:to arrange the sequence of drugs reasonably to ensure the safety of the combined use of multiple drugs;systemic anti-infection treatment combined with special treatment of locally infected skin promotes wound healing;in view of the characteristics of the bacteria causing melioidosis,strict isolation and long-term monitoring measures for hospital infection control should be formulated;to enhance the disease coping ability of the child and parents and alleviate negative emotions. After 100 days of intensive treatment and meticulous nursing care,the patient’s condition improved,and the discharge was achieved.

Key words: Severe Melioidosis, Extra Corporeal Membrane Oxygenation, Pediatric Nursing