珂立苏治疗新生儿肺透明膜病的护理体会

Nursing experience of Kelisu in treatment of hyaline membrane disease of newborns

目的:总结利用肺表面活性物质(PS)珂立苏治疗肺透明膜病(HMD)新生儿的护理体会。方法:给予新生患儿准确气管插管后,利用密闭式吸痰管的给药通路将PS分次均匀注入,每次注药的同时予复苏囊加压给氧,辅以快速、均匀叩击新生患儿胸部,促进药物弥散。注药后根据新生患儿病情选择合适的吸氧方法。结果:应用PS后新生患儿皮肤颜色转红,血气分析结果明显好转,氧饱和度上升至90%以上。结论:早期、正确的给药是保证新生患儿肺透明膜病治疗成功的关键。利用密闭式吸痰管给药通路注入药物是一种简便、安全、有效的方法。而给药后细致、正确的护理是肺透明膜病新生患儿治疗成功的有力保障。

Objective: To summarize nursing experience of pulmonary surfactant( PS) Kelisu in treatment of hyaline membrane disease of newborns. Methods: Afteraccurate tracheal intubation,PS was injected through closed tracheal suction tube delivery pathway in several times; while each injection,recovery capsule pressurized oxygen as well as rapidly and evenly striking chest were given to promote drug diffusion. After that,an appropriate oxygen therapy method was chosen based on the patients' conditions. Results: After the application of PS,the children's skin color turned to be red,blood gas analysis results were improved,and blood oxygen saturation increased to more than 90%. Conclusions: Early and correct dosing is the guarantee of the key to successof neonatal pulmonary hyaline membrane disease treatment. Using of closed tracheal suction tube delivery pathway to divider drugs is a simple,safe and effective way. After administration,a meticulous and proper care of neonatal pulmonary hyaline membrane disease treatment is the guarantee of success.