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持续静脉泵控咪达唑仑治疗小儿惊厥持续状态的护理体会

材料写作网    时间: 2020-06-14 04:31:24     阅读:

【摘要】目的 探讨持续静脉泵控咪达唑仑治疗小儿惊厥持续状态过程中的有效护理措施。方法 选取我院2014年6月~2017年9月神经内科收治的小儿惊厥持续状态患儿53例持续静脉泵控咪达唑仑治疗过程中的护理经验。结果 53例患儿有48例抽搐完全缓解,5例抽搐明显减少,显效时间最短者10 min即能控制发作,14例出现痰多,5例出现吸吮无力(均为1岁以内的婴儿),所有患儿均无血压、脉搏的明显变化。

结论 持续静脉泵控咪达唑仑治疗小儿惊厥持续状态在正确的护理程序保证之下,疗效快而稳定,不良反应少,并且便于按发作情况调整速度。

【关键词】持续;静脉泵控;咪达唑仑;惊厥持续状态;护理

【中图分类号】R473 【文献标识码】A 【文章编号】ISSN.2095-6681.2017.36..02

【Abstract】Objective To investigate the effective nursing measures in the treatment of the persistent state of infantile convulsion by continuous intravenous infusion of midazolam.Methods The nursing experience during the treatment of midazolam in 53 children with convulsion in the neurology department for the last 4 years was reviewed. Results 48 of the 53 cases had complete remission of convulsions,5 cases of convulsions were markedly reduced,the patient with the shortest visible time was 10min, is able to control the seizures,14 cases of phlegm,there were 5 cases of sucking weakness (all infants within 1 years old),all the children had no significant changes in blood pressure and pulse.Conclusion The sustained state of midazolam in the treatment of infantile convulsion under the guarantee of the correct nursing procedure is fast and stable with less adverse reactions, and it is easy to adjust the speed according to the seizures.

【Key words】Continue;Intravenous pump control;Midazolam;Convulsion status;Nursing

小儿惊厥持续状态是指一次惊厥发作持续30 min以上或连续多次发作30 min以上,发作间歇期意识不能恢复的疾病状态,惊厥持续时间越长,其脑损害越重。...

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