密闭车厢滞留致重症中暑患儿的急救护理

Emergency nursing of a child with severe heat stroke caused by trapped in a closed compartment

总结1例6岁儿童被遗留在密闭汽车车厢内导致重症中暑的急救护理体会。针对重症中暑患儿热性窒息、体液丢失、反复高热惊厥抽搐等主要问题,采取联合降温技术,持续核心温度监测;目标导向性容量管理,维持水、电解质、酸碱平衡;人工气道管理,有效保持气道通畅;反复惊厥抽搐发作护理;家庭参与式护理。经过6 h急诊多学科的紧急救治与精准护理,患儿顺利转入急诊重症监护室继续治疗,后期转院康复治疗。1个月后随访,患儿预后良好。

Summarize the emergency care experience of severe heart stroke in a 6-year-old child who was left in a closed car carriage.To solve the major problems such as thermal asphyxia,body fluid loss,repeated febrile convulsions,we implemented combined cooling technology,continuous core temperature monitoring,target-oriented capacity management to maintain the balance of water,electrolyte and acid-base,the management of artificial airway to effectively keep the airway unobstructed,case of repeated convulsive seizures,and family participatory care.After 6 h of emergency multidisciplinary emergency treatment and precision care,the child was successfully transferred to the emergency intensive care unit for further treatment,and later transferred to the other hospital for rehabilitation treatment.After a follow-up of one month,the child had a good prognosis.