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川崎病并发巨大冠状动脉瘤的护理 被引量:10

The nursing of Kawasaki disease with the complication of giant coronary artery aneurysm
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摘要 目的:探讨川崎病并发巨大冠状动脉瘤的护理方法。方法:选择2013年1月~2014年6月川崎病并发冠状动脉病患儿10例,对其进行症状护理、药物护理、抗凝、溶栓过程的护理、冠状动脉瘤的观察,出院指导,随访资料收集、回顾、总结。结果:24个月临床观察瘤体有回缩2例,瘤体扩大1例,由单侧冠状动脉瘤并发为双侧冠状动脉瘤1例,并发消化道出血1例。结论:本病的治疗周期长,病情变化快,预后差,应制定综合的护理方案,重视家长与患儿心理护理,提高家长及患儿的依从性,同时重视本病延续护理的开展。 Objective: To explore the nursing method of Kawasaki disease with the complication of giant coronary artery aneurysm.Methods: Selected 10 cases of the pediatric patients of Kawasaki disease with the complication of giant coronary artery aneurysm from January 2013 to June 2014,for who conducted the syndrome nursing,medicine nursing,anticoagulation and thrombolysis process nursing,coronary artery aneurysm observation,discharge instruction,as well as the collection,retrospection and summarization of the follow- up interview materials.Results: According to the 24 months clinic observation,there were 2 cases of aneurysm retraction,one cases of aneurysm extraction,one case of the single- side coronary artery aneurysm evolving into the double- side coronary artery aneurysm complication,and 1 cases of the gastrointestinal hemorrhage complication.Conclusion: The disease possesses the characteristics of long curative period,fast- changing disease condition and poor prognosis.Therefore it is imperative to project the comprehensive nursing programs,pay importance to the psychological nursing of the pediatric patients and their parents,enhance the compliance of the pediatric patients and their parents,and conduct the continuing nursing as well.
出处 《护理实践与研究》 2016年第6期30-32,共3页 Nursing Practice and Research
基金 2013-2014年度国家临床重点专科建设项目(国卫办医涵[2013]544号)
关键词 川崎病 巨大冠状动脉瘤 延续护理 Kawasaki disease Giant coronary artery aneurysm Continue nursing
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