110例高空坠落儿童救治护理临床体会.docVIP

精品论文 参考文献 110例高空坠落儿童救治护理临床体会 何蓉何春梅 　　（德阳市第二人民医院四川德阳618000） 　　【摘要】目的：研究探讨高空坠落儿童的救治护理措施。方法：选取本科室2000.1~2012.1共收治的110例高空坠落儿童的救治护理方法给予总结分析。结果:110例高空坠落儿童30例3周后治愈出院；40例6周后好转出院；37例8周后好转出院；3例患儿入院13d后经抢救无效死亡，救治成功率达9728%。所有出院患儿在出院后第3月复诊，15例在颅脑后遗症（7例言语不利，8例癫痫）；1例颈髓损伤导致双下肢瘫痪；治愈率达8545%。结论:及时、认真、细致多方位检查、会诊、观察治疗和护理，能提高高空坠落儿童的救治成功率，预防减少并发症，减少致残率，提高患儿的生活质量。 　　【关键词】高空坠落；救治护理；措施110 cases of falls from a height of children for treatment of clinical nursing experience 　　He RongHe Chunmei(Deyang Second Peoples Hospital, Sichuan, Deyang, 618000) 　　【Abstract】Objective:To study the falls from a height of children where care measures.Methods:The laboratory for 2000.1~2012.1 were treated 110 cases of falls from a height of children where the methods of care given to summarize and analyze.30 cases after 3 weeks of 110 cases of falls from a height of children were cured;40 cases after 6 weeks improved and discharged;improved and discharged after 37 cases and 8 weeks;three cases of children admitted to hospital 13 days after she died,the treatment success rate of 9728%.March referral of all discharged children after discharge from hospital,15 cases of adverse sequelae in the brain (7 cases of verbal,8 cases of epilepsy);one cases of cervical spinal cord injury causes paralysis of the lower limbs;cure rate of 8545%.Conclusion in a timely manner,serious,detailed multi-position check,consultation,observation and treatment and care,can improve the treatment success rate of falls from a height of children,prevention to reduce complications,reduce disability,improve the quality of life of children. 　　【Key words】high altitude fall;Treatment nursing;measures 　　【中图分类号】R47【文献标识码】B【文章编号】1003-5028(2013)10-0098-02 　　高空坠落伤是指患儿直接或间接从高空坠下造成躯体或心理上的伤害。人体从高空坠落产生的高速??击力会对组织和器官造成一定程度的损伤，患儿多合并颅脑损伤、骨折及胸腹部伤。由于存在多器官闭合性或开放性损伤，病情危重复杂，本人将2000.1~2012.1本科室收治的110例高空坠落儿童的救治护理体会进行探讨，供大家参考。 　　1资料与方法 　　11一般资料: 本科室2000.1~2012.1共收治110例高空坠落儿童，年龄3~11岁，平均（5plusmn;23）岁，女70例，男40例；20例市内患儿从二层以上的楼梯坠下；90例郊区患儿，其中36例患儿从一层房顶直接坠落，楼高约29~