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15例极低出生体重儿假丝酵母菌败血症的护理 被引量：5

Nursing care of 15 very low birth weight infants with candidaemia
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摘要 探讨极低出生体重儿(VLBWI)假丝酵母菌败血症的临床观察和护理要点。总结了15例继发假丝酵母菌感染的VLBWI发病经过,临床特点及治疗护理经过、转归等。对于具有各种高危因素的VLBWI,如较长的ICU住院时间、长时间使用广谱抗生素、有中心静脉导管、应用静脉内高营养、有创操作多等,在出生2周左右出现反复呼吸暂停或程度加重,皮肤黄疸持续不退,喂养不耐受,体温波动,肢端灌注差等临床征象,以及血小板计数下降,C反应蛋白增高时应高度警惕假丝酵母菌感染的可能。护士应做到早发现、早治疗,以改善患儿预后。
作者 楼晓芳 李可女 汪国芳
机构地区 浙江大学医学院附属儿童医院NICU
出处 《中华护理杂志》 CSCD 北大核心 2006年第11期1000-1003,共4页 Chinese Journal of Nursing
关键词 婴儿 出生时低体重 假丝酵母菌 败血症 护理 Infant,low birth weight Candida species Septlcemia Nursing care
分类号 R473.72 [医药卫生—护理学]
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参考文献12

  • 1Heljic S,Hukic M,Dzinovic A,et al.Fungal colonization of newborn in neonatal intensive care unit:A prospective study.Med Arh,2005,59(4):211-213.
  • 2Makhoul IR,Kassis I,Smolkin T,et al.Review of 49 neonates with acquired fungal sepsis:Further characterization.Pediatrics,2001,107(1):61-66.
  • 3Warris A,Semmekrot BA,Voss A.Candidal and bacterial bloodstream infections in premature neonates:A case-control study.Med Mycol,2001,39(1):75-79.
  • 4Holler B,Omar SA,Farid MD,et al.Effects of fluid and electrolyte management on amphotericin B-induced nephrotoxicity among extremely low birth weight infants.Pediatrics,2004,113(6):608-616.
  • 5Moreira ME.Controversies about the management of invasive fungal infections in very low birth weight infants.J Pediatr (Rio J),2005,81(1):52-58.
  • 6Saiman L,Ludington E,Pfaller M,et al.Risk factors for candidemia in neonatal intensive care unit patients.Pediatr Infect Dis J,2000,19(4):319-324.
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  • 10楼晓芳,陈正,吕华,孙眉月.NICU经外周置入中心静脉导管相关感染的调查[J].中华护理杂志,2006,41(4):375-377. 被引量：49

二级参考文献12

  • 1Janes M. Kalyn A. Pinelli J, et al. A randomized trial comparing peripherally inserted central venous catheters and peripheral intravenous catheters in infants with very low birth weight. J Pediatr Surg, 2000, 35 (7) : 1040-1044.
  • 2Mermel LA, Farr BM, Sherertz RJ, et al. Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis, 2001,32 (9) :1249-1272.
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  • 8骆小京,康继红,白志荣,李清华.经外周静脉穿刺植入中心静脉导管在NICU中的应用[J].中华护理杂志,1999,34(4):232-233. 被引量：226
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  • 10蔡威.新生儿肠外营养支持研究进展[J].外科理论与实践,2000,5(1):10-12. 被引量：15

共引文献48

同被引文献41

引证文献5

二级引证文献9

中华护理杂志
2006年 第11期

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