摘要
[Objectives]To explore nursing strategy for comprehensive treatment of children with fulminant myocarditis by multidisciplinary team(MDT),and clarify the nursing emphasis and difficulties in the treatment of fulminant myocarditis in children.[Methods]Retrospective analysis was made on three cases of fulminant myocarditis in children treated in Taihe Hospital of Shiyan City from January 2021 to January 2022.The different clinical characteristics and treatment plans were analyzed and compared,and the nursing emphasis and difficulties in comprehensive treatment of fulminant myocarditis in children were discussed.[Results]The minimum age of three children with fulminant myocarditis was 11 days old,and the remaining two children were 9-12 years old.All three children were successfully treated,in which two cases were treated with extracorporeal membrane oxygenation(ECMO)combining with mechanical ventilation(MV),including one case of neonatal explosive myocarditis.One case was treated with temporary cardiac pacing implantation.The psychological counseling and nursing of children with fulminant myocarditis and their guardians were also critical to the successful treatment and good prognosis of the disease.[Conclusions]The condition of fulminant myocarditis in children is dangerous,and it should closely observe the changes of the illness condition.The key to successful treatment is to start a comprehensive treatment plan based on life support as early as possible.The key point of nursing is to closely assist in observing the condition at the early stage,assist in maintaining and operation during advanced life support period,and avoid complications.At the same time,strengthening the psychological care of pediatric patients and guardians and health education after leaving hospital are the key and difficult points of nursing.
