婴儿暴发型冲心型脚气病的护理

Nursing about fulminate central infantile beriberi

婴儿脚气病以突然哭叫、惊厥、急性心力衰竭为主要表现的重症者罕见，若不能早期诊断，尽快使用维生素Ｂ１ 治疗，病情会迅速恶化。通过喂养史及维生素Ｂ１ 的诊断性治疗，可早期明确诊断。头颅ＣＴ可见双侧基底神经节区对称性肾形低密度影，治疗后１～３ 个月头颅ＣＴ复查，低密度影可消失，不留后遗症。应着重惊厥的护理，应用解痉剂，吸痰，面罩吸氧等。心力衰竭忌用强心剂及激素，以防心衰加重。做好家属的心理护理，消除其焦急、烦躁及恐惧心理，密切配合治疗。注射维生素Ｂ１ ２ ～３ｄ 后症状可缓解，此后口服，其母也同时服用维生素Ｂ１ ，疗程约１ 月。此病重在预防。

It is very rare that infantile beriberi shows:crying,convulsion,acute heart failure without early diagnosis and use of VitB 1,condition may deterioate Early diagnosis may be made by feeding history and diagnosis treatment of VitB 1 Symetric kidney shaped low density area may be found in bilateral basal ganglion through CT and it may disappear after 1～3 month treatment without any sequela Nursing points:anti convulsant drainage of sputum Oxygen inhale, heart failure treatment,psychological nursing of their parents VitB 1 injection may relieve the symptom,in the mean time,the mothers may take VitB 1 orally