摘要
总结1例重症支原体肺炎并发塑型性支气管炎、坏死性肺炎伴液气胸及肺栓塞患儿的护理体会。针对多并发症交织、疾病进展迅猛等问题,依托症状-影像-检验动态预警,实施阶梯式干预:支气管镜灌洗清除塑型物、胸腔闭式引流精细调控、D-二聚体导向抗凝。经36 d的救治,患儿康复出院。随访8个月,患儿影像学恢复良好。
To summarize the nursing experience for a child with severe mycoplasma pneumonia complicated by plastic bronchitis and necrotizing pneumonia with hydropneumothorax and pulmonary embolism.In response to the characteristics of multiple intertwined complications and rapid progression,we implemented stepwise interventions based on dynamic"symptom-imaging-laboratory"triple monitoring,including bronchoscopic lavage to remove plastic casts,meticulous regulation of closed thoracic drainage,D-dimer-guided anticoagulation.After 36 days of treatment,the child recovered and was discharged.After 8 months of follow-up,imaging of the child showed good recovery.
作者
沈倩倩
章毅
方杭萍
李美
郑迎
陈朔晖
SHEN Qianqian;ZHANG Yi;FANG Hangping;LI Mei;ZHENG Ying;CHEN Shuohui(Department of Gastroenterology,Children’s Hospital,National Clinical Research Center for Children and Adolescent’s Health And Diseases,Hangzhou 310052,China;Department of Neurology,Children’s Hospital,National Clinical Research Center for Children and Adolescent’s Health And Diseases,Hangzhou 310052,China;Department of Respiratory,Children’s Hospital,National Clinical Research Center for Children and Adolescent’s Health And Diseases,Hangzhou 310052,China;Department of Otolaryngology,Children’s Hospital,National Clinical Research Center for Children and Adolescent’s Health And Diseases,Hangzhou 310052,China;Department of Hospital-acquired Infection Control,Children’s Hospital,National Clinical Research Center for Children and Adolescent’s Health And Diseases,Hangzhou 310052,China)
出处
《中华急危重症护理杂志》
2026年第1期83-85,共3页
Chinese Journal of Emergency and Critical Care Nursing
基金
浙江省医药卫生科技计划项目(2023RC190)。
关键词
肺炎支原体
肺炎
肺栓塞
儿童
危重病护理
Mycoplasma Pneumonia
Pneumonia
Pulmonary Embolism
Child
Critical Care Nursing
