热性感染相关性癫痫综合征患儿的护理
|
摘要
目的探讨热性感染相关性癫痫综合征患儿的护理。方法对3例热性感染相关性癫痫综合征患儿采取以下措施:采用自行设计的体温曲线观察记录表,观察体温变化趋势,为医生合理调整治疗方案提供依据;癫痫持续状态持续泵入咪达唑仑时,给予按需分阶段吸痰方案;成立多学科生酮饮食治疗团队,做好不良反应的观察及护理指导;关注下肢深静脉血栓及静脉炎的护理干预及治疗配合;做好出院指导。结果 3例患儿症状均得到有效控制顺利出院。结论护理过程中全面、科学的观察和及时采取相应措施,可促进热性感染性癫痫综合征患儿康复。
引文
[1] Kramer U,Chi C S,Lin K L,el al.Febrile infection-related epilepsy syndrome:Pathogenesis,treatment,and outcome:A multicenter study on 77 children[J].Epilepsia,2011,52(11):1956-1965.
[2] 吴春凤,廖建湘,郑帼,等.发热相关性癫痫综合征生酮饮食治疗2例及文献复习[J].南京医科大学学报,2014,34(11):1624-1626.
[3] Baalen A V,Hausler M,Boor R,et al.Febrile infection-related epilepsy syndrome:A nonencephalitic encephalopathy in childhood[J].Epilepsia,2010,51(7):1323-1328.
[4] 陈敬师,董琰,张润春,等.热性感染相关性癫痫综合征研究进展[J].中国实用儿科临床杂志,2016,31(24):1917-1920.
[5] 余玲.重症颅脑外伤患者的呼吸道的护理[C]// 中国医师协会神经外科医师分会全国代表大会.2009.
[6] 王荣芳,唐汇群.肺内叩打排痰对毛细支气管炎患儿血氧饱和度的影响[J].中国现代医生,2008,46(32):107-108.
[7] Nabbout R,Mazzuca M,Hubert P,et al.Efficacy of ketogenic diet in severe refractory status epilepticus initiating fever induced refractory epileptic encephalopathy in school age children[J].Epilepsia,2010,51(10):2033-2037.
[8] Su S W,Cilio M R,Sogawa Y,et al.Timing of ketogenic diet initiation in an experimental epilepsy model[J].Developmental Brain Research,2000,125(1):131-138.
[9] Kumada T,Nishii R,Higashi T,et al.Ketogenic diet may control seizures by increasing the binding potential of the benzodiazepine receptor: a speculation from the[11C]flumazenil-PET study[J].No to Hattatsu Brain & Development,2012,44(1):50.
[10] de Kinderen R J,Lambrechts D A,Wijnen B F,et al.An economic evaluation of the ketogenic diet versus care as usual in children and adolescents with intractable epilepsy: An interim analysis.[J].Epilepsia,2016,57(1):41-50.
[11] 易阳,熊建新,王涉洋.支原体肺炎合并下肢深静脉血栓2例报告并文献复习[J].临床儿科杂志,2015,33(7):618-620.
[12] 何茉莉.肺栓塞患者的观察和护理[J].现代中西医结合杂志,2006,15(7):967-967.
[13] 王金春,李树捷,和树芸.下肢深静脉血栓导致急性肺动脉栓塞的护理体会[J].泰山医学院学报,2003,24(2):197-198..
[14] 钱旭萍.持续性静脉泵入咪达唑仑治疗小儿癫痫持续状态73例的护理干预体会[J].中国药业,2013,22(11):63-64.
[15] 张红,张仑,唐云.儿科静脉炎危险因素分析和护理人员认知情况调查[J].川北医学院学报,2016,31(6):914-916.
[16] 杨婧.静脉留置针持续输注盐酸胺碘酮注射液致静脉炎的实验研究[D].太原:山西医科大学,2017.
[17] 朱建英.美国静脉输液专职护士的发展现状及对我国的启迪[C]//中国康协肢残康复学术年会,2010.
[2] 吴春凤,廖建湘,郑帼,等.发热相关性癫痫综合征生酮饮食治疗2例及文献复习[J].南京医科大学学报,2014,34(11):1624-1626.
[3] Baalen A V,Hausler M,Boor R,et al.Febrile infection-related epilepsy syndrome:A nonencephalitic encephalopathy in childhood[J].Epilepsia,2010,51(7):1323-1328.
[4] 陈敬师,董琰,张润春,等.热性感染相关性癫痫综合征研究进展[J].中国实用儿科临床杂志,2016,31(24):1917-1920.
[5] 余玲.重症颅脑外伤患者的呼吸道的护理[C]// 中国医师协会神经外科医师分会全国代表大会.2009.
[6] 王荣芳,唐汇群.肺内叩打排痰对毛细支气管炎患儿血氧饱和度的影响[J].中国现代医生,2008,46(32):107-108.
[7] Nabbout R,Mazzuca M,Hubert P,et al.Efficacy of ketogenic diet in severe refractory status epilepticus initiating fever induced refractory epileptic encephalopathy in school age children[J].Epilepsia,2010,51(10):2033-2037.
[8] Su S W,Cilio M R,Sogawa Y,et al.Timing of ketogenic diet initiation in an experimental epilepsy model[J].Developmental Brain Research,2000,125(1):131-138.
[9] Kumada T,Nishii R,Higashi T,et al.Ketogenic diet may control seizures by increasing the binding potential of the benzodiazepine receptor: a speculation from the[11C]flumazenil-PET study[J].No to Hattatsu Brain & Development,2012,44(1):50.
[10] de Kinderen R J,Lambrechts D A,Wijnen B F,et al.An economic evaluation of the ketogenic diet versus care as usual in children and adolescents with intractable epilepsy: An interim analysis.[J].Epilepsia,2016,57(1):41-50.
[11] 易阳,熊建新,王涉洋.支原体肺炎合并下肢深静脉血栓2例报告并文献复习[J].临床儿科杂志,2015,33(7):618-620.
[12] 何茉莉.肺栓塞患者的观察和护理[J].现代中西医结合杂志,2006,15(7):967-967.
[13] 王金春,李树捷,和树芸.下肢深静脉血栓导致急性肺动脉栓塞的护理体会[J].泰山医学院学报,2003,24(2):197-198..
[14] 钱旭萍.持续性静脉泵入咪达唑仑治疗小儿癫痫持续状态73例的护理干预体会[J].中国药业,2013,22(11):63-64.
[15] 张红,张仑,唐云.儿科静脉炎危险因素分析和护理人员认知情况调查[J].川北医学院学报,2016,31(6):914-916.
[16] 杨婧.静脉留置针持续输注盐酸胺碘酮注射液致静脉炎的实验研究[D].太原:山西医科大学,2017.
[17] 朱建英.美国静脉输液专职护士的发展现状及对我国的启迪[C]//中国康协肢残康复学术年会,2010.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |