新生儿科：一例宫内感染性肺炎患儿的护理查房PPT.pptx

One case of intrauterine infection pneumonia of the newborn in nursing rounds（一例宫内感染性肺炎患儿的护理查房）speaker：何绮晴Physical examination：姚莲萍PPT production：石彩兰Advisor：陈松珠老师、陈丽英老师、何兆梅老师Operation purpose1.Discussing and using 14 items about clinical nursing service quality in nursing rounds(探讨运用“14条”进行护理查房)2. Master(掌握) the nursing of intrauterine infection pneumonia with newborn 3. Improve the nurse’s understanding of intrauterine infection pneumoniaGeneral information（一般资料）：Name: Son of Geng yinghua （庾颖华之子）Age: 11 days Weight：3.55kgSex: maleData of Birth：: 14:57 ,July 26th, 2016 Race: Han Nationality: ChinaParents Name: father Chen haiyan，Mother Geng yinghuaDate of admission: July 27th, 2016Chief complaint（主诉）: short of breath for 2 hoursPresent illness（现病史）:GW: 38+weeks, G3P2, LMP: 2016-08-05; EDC: 2016-7-26 .Baby′s mother is a elderly pregnant woman with scarred uterus(疤痕子宫) .he birthed in 14:57 ,July 26th, 2016 with cesarean(剖腹产) .The afflicted(受苦的) baby was delivered in 14:57 ,July 26th, 2016.His Birth weight was 3.55 kg and head circumference was 32 cm . There was no history of asphyxia rescue（无窒息抢救史） at birth with clear amniotic fluid（羊水清）. What ′s it？？？Intrauterine infection pneumonia of the newborn（新生儿宫内感染性肺炎）:Caused by viruses（病毒）, bacteria（细菌）, protozoa（原虫）, or chlamydia（衣原体）Had infection before birth (出生前就感染)Always attacked（发病） within 24 hours after birth with asphyxia（窒息史）Had shortness of breath（气促），moans（呻吟）, difficulty breathing（呼吸困难）, and had not stable temperature（体温不稳定）, and the response is poor（反应差)after recovery（复苏）.clinical manifestation（临床表现）Serum （血清） IgM and IgA is higher than normal newborns, and Ig M 200 mg/L in umbilical cord blood(脐带血) or the specificity Ig M is higher for prenatal diagnosis（产前诊断）.X-ray chest radiography is often shown as interstitial pneumonia（间质性肺炎), and the bacterial pneumonia(细菌性肺炎)is bronchopneumonia(支气管肺炎).Checked the gastric juice(胃液) 1 ~ 2 hours after birth, which could see pus cells脓细胞, and find