轮状病毒肠炎合并中重度脱水36例临床特点分析及护理策略探讨

Of rotavirus enteritis combined moderately severe dehydration 36 cases analysis of clinical characteristics and nursing strategy

目的总结轮状病毒肠炎合并中重度脱水临床特点及探讨正确护理策略。方法回顾性分析广州市番禺区中心医院儿科2010～2012年间收治的36例轮状病毒肠炎合并中重度脱水病例的临床资料,并与同期78例轮状病毒肠炎合并轻度脱水病例的临床资料比较,探讨正确护理策略。结果轮状病毒肠炎合并中重度脱水临床表现重,出现呕吐、腹胀、低钾血症机率大于轻度脱水患儿,有5例病例出现周围循环障碍需要紧急扩容。结论轮状病毒肠炎合并中重度脱水临床表现重,护理策略是正确评估脱水程度、及时扩容以及纠正低钾血症。

Objective Summarize clinical features of rotavirus enteritis combined moderately severe dehydration and correct nursing strategy. Methods Guangzhou panyu district central hospital pediatric were retrospectively analyzed from 2010 to 2012 of 36 cases of rotavirus enteritis combined moderately severe dehydration cases clinical data, and compared with 78 cases of rotavirus enteritis combined the clinical data of cases of mild dehydration, correct nursing strategies are discussed. Results Of rotavirus enteritis combined moderately severe dehydration clinical manifestation, vomiting, abdominal distension, hypokalemia probability is greater than for children with mild dehydration circulation need to have 5 cases appeared around the emergency capacity. Conclusion Of rotavirus enteritis combined moderately severe dehydration clinical, nursing strategy is to correctly evaluate the degree of dehydration, expansion, and timely correction of hypokalemia.