19例新生儿继发性弥散性血管内凝血的抢救及护理

Rescue and Nursing of 19 Neonates with Succeeded DIC

目的探讨新生儿继发性弥散性血管内凝血的抢救及护理。方法对19例继发性弥散性血管内凝血患婴的临床资料、抢救及护理的情况进行回顾性的分析。结果通过积极的抢救及采取有效的护理干预,19例中治愈12例,好转5例,未愈2例,抢救成功率89.47%。结论分析弥散性血管内凝血DIC的各种病因,去除原发病是治疗该病的关键,积极抗休克、保温、纠正水电解质紊乱是抢救的重要措施。改善缺氧,适当适时应用抗凝药物和补充凝血因子有助于止血功能的恢复。细心及时地观察病情变化,精心的护理,为抢救成功提供有力保证。

Objective To explore the rescue and nursing of neonates with succeeded DIC. Methods Retrospective analysis of 19 clinical data about the rescue and nursing of neonates with succeeded DIC. Results By active rescue and valid nursing, among the 19 cases, recovery 12 , improvement 5; minor improvement 2, the effective rate was 89.47%. Conclusion For the rescue and nursing of neonates with succeeded DIC , the key was to analyze etiological factors and find out the primary disease, the measurement was to antishock , keep warm and retrieve water-electrolyte disturbances. Meanwhile, ameliorating hypoxia, using proper anticoagulant and supplying blood coagulation factor would help homeostatic function recovery. Furthermore, observation patient＇s condition carefully and in time and nursing attentively provided a powerful guarantee.