纤毛不动综合征继发胸腔积液及咯血患儿的护理

Nursing of a child with primary ciliary dyskinesia and secondary pleural effusion and hemoptysis

总结了1例纤毛不动综合征继发胸腔积液及咯血患儿的护理体会。针对患儿气道廓清障碍、呼吸道分泌物难以清除,并继发胸腔积液及咯血等问题,采取实施分阶段气道廓清技术,配合医生行胸腔穿刺术,密切观察病情变化,预防大咯血引起窒息,并采取多形式心理护理,帮助患儿改善焦虑情绪。经过12 d精心治疗和护理,患儿病情稳定出院。出院后随访1年,患儿状态良好。

To summarize the nursing experience of a child with primary ciliary dyskinesia and secondary pleural effusion and hemoptysis.For the child with problems such as obstructed airway clearance,difficulty to effectively remove respiratory secretions and secondary pleural effusion and hemoptysis,we adopted using the phased airway clearance technique,cooperating with the doctor to perform the thoracentesis,paying close attention to the changes of the child's conditions,preventing asphyxia caused by massive hemoptysis,and taking various forms of psychological care to help the child ameliorate anxiety.Affer 12 days of careful treatment and nursing,the child was discharged from hospital in a stable condition.Follow-up of one year after discharge showed that the child was in good condition.