烟花烧伤复合腹腔爆震伤患儿的围手术期护理

Perioperative nursing of a child with fireworks burn combined with abdominal blast injury

总结1例烟花烧伤复合腹腔爆震伤患儿的围术期护理体会。针对早期腹部伤口及脏器持续出血、术后腹腔感染、损伤后并发症等问题,采取早期快速评估、高效抗休克救护,术后多措施联合控制感染,加强并发症的观察和对症处理,对疼痛采用个性化护理,以及动态评估并实施肠内营养等措施,经36 d治疗和护理,患儿康复出院。

To summarize the perioperative nursing experience of a child with fireworks burn combined with abdominal blast injury.In view of the problems of early abdominal wound and organ continuous bleeding,postoperative abdominal infection and complications after injury,we adopted early rapid assessment,efficient anti-shock rescue,postoperative multi-measures combined with control of infection,and strengthening observation and symptomatic treatment of complications,personalized pain care,dynamic assessment and implementation of enteral nutrition and other nursing measures.After 36 days of treatment and nursing,the patient recovered and was discharged.