1例急性肾功能衰竭早产儿行改良式腹膜透析持续引流术的护理

Nursing care of a premature infant with acute renal failure undergoing modified continuous drainage of peritoneal dialysis

总结1例急性肾功能衰竭早产儿行改良式腹膜透析持续引流术的护理要点。护理要点包括:选取中心静脉导管(双腔)进行持续引流,通过定时挤压引流管、严格无菌操作,防止堵管和严重并发症的发生;选用乳酸盐腹膜透析液,并使用输液恒温器加热,严格控制透析液输入速度,严密监测体温,防止患儿发生低体温;建立表格式新生儿腹膜透析引流术护理记录单,严密观察患儿腹部体征、透出液性状、透析液出入量、尿量等;加强喂养护理和严重并发症的预防。患儿共进行7 d腹膜透析,经过20 d住院治疗与护理,患儿恢复良好,予出院,随访结果满意。

The nursing key points of a premature infant with acute renal failure undergoing modified continuous drainage and peritoneal dialysis were summarized.Key points:the central venous(double cavity)catheter was selected for continuous drainage;plugging and serious complications were prevented by squeezing drainage tube at fixed time and observing aseptic technique.Lactate peritoneal dialysate heated by infusion thermostats and the controlled infusion speed and body temperature were chose to prevent hypothermia.Abdominal symptoms,input and output of dialysate and urine,and other aspects were closely observed and recorded on a tabular nursing record sheet.Feeding care and the prevention of serious complications were intensified and managed.The infant,underwent 7 days peritoneal dialysis of 20 days in the hospital,recovered smoothly with satisfaction by telephone follow-up.