小儿中小面积烧伤发热的护理治疗

Nursing of infants with intermediate and small burn wounds and fever

目的：总结小儿烧伤发热的护理治疗经验,规范护理操作技术规程。方法：对26例中小面积烧伤患儿的伤情、烧伤面积、体温变化、护理措施及处理效果进行回顾性总结。结果：除2例体温正常外,其余24例均有不同程度发热,12例接受了19次降温措施处理,降温幅度在0．5℃以上,无惊厥与呕吐等并发症发生；SD-Ag治疗组与MEBO治疗组发热率比较无显著差异(P＞0．05)。结论：小儿中小面积烧伤发热达到39℃时,可酌情降温处理,首选物理降温方法。

Objective： To sum up experience in nursing bum infant with fever and to standardize the operation. Method： A retrospective summary of the nursing work was made. 26 infants with intermediate and small burn wounds received the nursing. Different nursing measures were adopted according to case condition, burn area, body temperature, etc. Result： 2 cases had normal body temperature and 24 had fever. 12 cases received 19 times of nursing treatment for lowering body temperature. Their body temperature was lowered by 0. 5℃. No convulsion and vomiting happened. The body temperature lowering effect in MEBO and SD - Ag treatment groups had no significant difference （ P 〉 0. 05 ）. Condusion： Infants with small and intermediate burn wounds should receive body temperature lowering treatment when they had fever above 39℃. Physical body temperature lowering method is of first choice.