18层高处坠落致胸腰椎爆裂性骨折患儿的护理

Nursing care of a child with thoracolumbar burst fracture caused by falling from the 18th floor

总结1例18层高处坠落致胸腰椎爆裂性骨折患儿术后俯卧位机械通气的护理经验。针对本例患儿术后初期持续俯卧位机械通气,采取了人工气道的集束化护理、压力性损伤的聚焦预防护理和眼部并发症的早期干预;做好呼吸系统的管理;脑脊液漏的综合护理;进行早期康复护理。经过23 d的精心治疗和护理,患儿病情稳定,顺利转外院继续康复治疗。随访至今,患儿已能脱离支具短距离行走。

To summarize the nursing experience of mechanical ventilation in prone position in a child with thoracolumbar burst fracture caused by falling from the 18 th floor.Because the patient was ventilated mechanically in continuous prone position at the early stage after operation,we adopted cluster nursing of artificial airway,focused prevention nursing of pressure injury and early intervention of eye complications.Respiratory system management,comprehensive nursing management to prevent cerebrospinal fluid leakage,early rehabilitation nursing intervention were performed.After 23 days of careful treatment and nursing,the patient’s condition was stable and smoothly transferred to another hospital for further rehabilitation treatment.Follow up to now,the patient can walk for a short distance without the brace.