中华护理杂志2024,Vol.59Issue(13) :1645-1649.DOI:10.3761/j.issn.0254-1769.2024.13.016

1例腹腔多器官烧伤合并肝撕裂伤患儿的急救与护理

First aid and nursing care of a child with abdominal multi-organ burn complicated with liver laceration

沈清清 李荷君 张学兵 杨陈
中华护理杂志2024,Vol.59Issue(13) :1645-1649.DOI:10.3761/j.issn.0254-1769.2024.13.016

1例腹腔多器官烧伤合并肝撕裂伤患儿的急救与护理

First aid and nursing care of a child with abdominal multi-organ burn complicated with liver laceration

沈清清 1李荷君 2张学兵 3杨陈3
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作者信息

  • 1. 310052 杭州市 浙江大学医学院附属儿童医院普外/胃肠中心
  • 2. 310052 杭州市 浙江大学医学院附属儿童医院遗传与代谢科
  • 3. 重庆医科大学附属儿童医院日间外科
  • 折叠

摘要

总结1例烟花爆炸致腹腔多器官烧伤合并肝撕裂伤患儿的护理经验.护理要点:入院后立即启动多学科创伤救护团队,实施创伤性休克急救措施;实施以目标为导向的液体管理,加速术后肠道功能恢复;积极控制腹腔感染,降低脓毒症休克发生风险;开展精准评估,预防消化道大出血、胆漏、胆囊穿孔、迟发性肠坏死等术后并发症;开展营养筛查与评估,制订个性化营养支持方案;重视疼痛评估,实施个性化镇痛措施;关注患儿心理创伤,提供心理支持.患儿术后36d好转出院,随访2个月恢复良好.

Abstract

To summarize the nursing experience of a pediatric patient with multiple organ burns in the abdominal cavity and liver laceration caused by a fireworks explosion.The following nursing points were implemented:immediate activation of a multidisciplinary trauma rescue team upon admission to initiate emergency measures for traumatic shock;implementation of target-oriented fluid management to expedite postoperative intestinal function recovery;active control of abdominal infection to minimize the risk of septic shock;thorough and accurate assessment was conducted to prevent postoperative complications such as gastrointestinal hemorrhage,bile-leakage,gallbladder perforation,and delayed intestinal necrosis;nutritional screening and assessment was performed to develop personalized nutritional support programs;emphasis should be placed on pain assessment to implement individualized analgesia measures;the provision of high-quality psychological support focusing on addressing psychological trauma.The child was successfully discharged 36 days after surgery and exhibited satisfactory recovery during the two-month follow-up period.

关键词

爆炸伤/烧伤/腹部损伤/肝撕裂/急救/儿科护理学

Key words

Explosive Injury/Burn/Abdominal Injuries/Laceration of Liver/First Aid/Pediatric Nursing

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出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
参考文献量8
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