纵隔卡波西型血管内皮瘤合并卡梅现象患儿的护理

Nursing care of an infant with mediastinal Kaposiform hemangioendothelioma combined with Kasabach Merritt phenomenon

总结1例纵隔卡波西型血管内皮瘤合并卡梅现象患儿的护理体会。针对患儿血小板顽固性低下,采取严密观察出血倾向,重点预防颅内出血护理;针对纵隔肿物,提高病情警示级别,早期识别严重并发症;针对患儿疼痛,实施预见性疼痛护理;针对联合应用免疫抑制方案,加强用药护理,落实家长参与式护理,提升院外照护能力。入院40 d患儿血小板计数上升,凝血功能纠正,顺利出院。3个月后随访患儿病情稳定,纵隔占位较前缩小。

To summarize the nursing experience of an infant with Kaposiform hemangioendothelioma of mediastinum combined with Kasabach Merritt phenomenon.In response to the stubborn low platelet count in the child,close observation of bleeding tendency was taken,with a focus on preventing intracranial hemorrhage.In view of the mass located in mediastinum,we improved the warning level of illness and identify serious complications early.Predictive pain care was carried out for the pain.In view of the combined application of immunosuppressive regimen,we strengthened medication nursing,implemented parents’participatory nursing and improved the ability of out-of-hospital care.The patient’s platelet count increased,blood coagulation function was corrected 40 days after admission,and he was discharged smoothly.After three months,the patient was followed up in a stable condition.The mediastinal mass was smaller than before.