Children with a sense of high altitude cerebral edema induced by pulmonary edema nursing.docVIP

 PAGE \* MERGEFORMAT 7 Children with a sense of high altitude cerebral edema induced by pulmonary edema nursing [Keywords:] induced, high altitude cerebral edema, high altitude pulmonary edema, nursing High altitude pulmonary edema is due to the human body rapidly into high altitude (3,000 meters above normal, sensitive to hypoxia ~ 3000 m by 2500, due to some factors (as flu, excessive fatigue, cold, diarrhea and strenuous exercise the body such as the plateau pressure induced hypoxia not meet, mainly for respiratory difficulties, cyanosis, cough, cough a lot of white or pink foam phlegm, severe brain hypoxia can lead to high altitude cerebral edema, brain dysfunction occurs, clinical manifestations of severe neuropsychiatric symptoms and even coma or ataxia, which is the special incidence of the plateau, and its rapid onset, rapid development, if not timely treatment can be life threatening. of the actual cases of children with cerebral edema induced by high altitude pulmonary edema nursing care of as follows. 1 Clinical data Female children, aged 5, from Sichuan. On March 1, 2008 in Lhasa as “the flu, high altitude pulmonary edema, high altitude cerebral edema” income homes .2 flu on 28 February by bus from Golmud in Qinghai into Lhasa coma occurred in the evening on the way, the way intermittent fever with convulsions 12 hours 1 day coma, vomiting, incontinence, was admitted to hospital at 10:20 on March 1. examination: body temperature 39.7 ℃, pulse 138 beats / min, breathing 48 times / points, weight 14kg, unconsciousness, convulsions with mild limb, so large and so the pupil diameter of about 2.5mm, light reflex retardation, coarse breath sounds in both lungs, both lungs could be heard and a small amount at the bottom of wet rales. reported in critical condition, immediately given continuous low flow oxygen, cooling, only shock, special care, establishment of intravenous access: 20% mannitol infusion pressure 100ml 1 / 12h, furosemide 10mg