中华护理杂志 ›› 2021, Vol. 56 ›› Issue (7): 1053-1057.DOI: 10.3761/j.issn.0254-1769.2021.07.016

• 临床实践 • 上一篇    下一篇

1例450 g近存活期分娩儿的个体化护理

凌其英(),陈芳洁,罗莲,唐彬秩()   

  1. 610072 成都市 四川省医学科学院四川省人民医院/电子科技大学临床医学院儿科
  • 收稿日期:2020-07-14 出版日期:2021-07-15 发布日期:2021-06-29
  • 通讯作者:
  • 作者简介:凌其英:女,本科,副主任护师,E-mail: 643751552@qq.com
  • 基金资助:
    四川省护理科研课题计划(H20047);四川省人民医院专项基金(2021ZX04);四川大学出生缺陷与相关妇儿疾病教育部重点实验室开放基金项目(2020KF04)

Individual nursing care of a periviable birth neonate with birth weight of 450g

LING Qiying(),CHEN Fangjie,LUO Lian,TANG Binzhi()   

  • Received:2020-07-14 Online:2021-07-15 Published:2021-06-29

摘要:

总结1例胎龄23周,出生体重450 g的近存活期分娩儿的个体化护理措施,包括早期生命支持、发育支持护理、维持有效呼吸、早期营养管理、皮肤护理、预防和控制感染、母乳口腔护理与母乳喂养、锻炼离氧、训练经口喂养、家长参与式护理等。经过精心的治疗及护理,患儿顺利出院。

关键词: 近存活期分娩, 超低出生体重儿, 个体化护理, 新生儿护理

Abstract:

Individual nursing management practice of a periviable birth baby with gestational age of 23 weeks and birth weight of 450 g is reported and the literature review is summarized. Individual nursing practice includes early life support,developmental supportive care,maintenance of effective respiration,venous access and nutrition management,skin care,prevention and control of infection,oral colostrum smear,training of oxygen-independence and oral feeding,family-integrated-care. After careful treatment and nursing care,the newborn was discharged smoothly.

Key words: Periviable Birth, Extremely Low Birth Weight Neonate, Individual Nursing Care, Neonatal Nursing