摘要
小儿烧伤后休克期补液过量，可导致脑水肿的发生，病情发展快，预后差。作好休克期补液的护理，对减少减轻脑水肿的发生、发展有重要意义。作者对该院自1990年12月至1994年7月收治的6例休克期并发脑水肿的资料和体会进行了介绍，6例中死亡4例，年龄最小2岁，最大8岁，平均4岁，烧伤面积最小19％，最大57％。作者体会，注意入院前补液情况，以制定输液量；切忌在短期内大量输入单一液体，严密观察复苏指标，特别是尿量及脉搏；要注意瞳孔变化及脑水肿早期的代偿性血压升高及脉搏缓慢；最后提出脑水肿发生的治疗及护理要点。
Burn children receiving excessive fluid infusion atthe shock stage may result in cerebral edema. Theonset of the disease is very quick and the prognosis isoften not good.This paper introduces the experience in nursing 6cases of pediatric burn complicated by cerebral ede-ma. 4 cases died. The youngest aged 2 and the old-est 8. The average age was 4. The smallest burnarea was 19% and the Iargest 57%. The authors em-phasized that the amount of fluid the child receivedbefore hospitalization should be taken into accountand the total amount of infusion should be controlled.It is not permissible to infuse a single fluid in a largeamount within a short period. Special attention shouldbe paid to the observation of the rescuscitation condi-tion and changes in urine output, pulse rate, pupil sizeand etc. At the early stage of cerebral edema, com-pensatory rise in bIood pressure and slow pulse arecommonly seen. Points for attention in the treatmentand nursing of cerebral edema are also described.
出处
《中国烧伤创疡杂志》
1996年第3期54-54,共1页
The Chinese Journal of Burns Wounds & Surface Ulcers
