1例无乳链球菌感染合并持续肺动脉高压新生儿的护理

Nursing care of a neonate with atreptococcus agalactiae infection combined with persistent pulmonary arterial hypertension

总结1例无乳链球菌感染合并持续肺动脉高压新生儿的护理经验。该患儿出生前存在宫内感染、羊水污染、胎膜早破病史,出生后2 h即出现严重的多器官功能障碍,入院后给予体外膜肺氧合联合连续肾脏替代治疗、呼吸机辅助通气、抗感染、血浆置换等综合治疗。护理要点包括实施液体复苏,保护性隔离,管道护理,系统监测生命体征、出凝血状态,做好气道护理、皮肤保护等措施,患儿症状逐渐好转。

The study summarizes the nursing care of a neonate with streptococcus agalactiae infection combined with persistent pulmonary arterial hypertension.The newborn had a history of intrauterine infection,amniotic fluid pollution and premature rupture of membranes before birth.Two hours after birth,his multiple organs were severely involved.After admission,he was treated with extracorporeal membrane oxygenation combined with continuous renal replacement therapy,ventilator-assisted ventilation,anti-infection and plasma exchange.The main nursing points included liquid resuscitation,protective isolation,pipeline care,systematic monitoring of vital signs,blood clotting status,airway care and skin protection,and the symptoms of the child gradually relieved.