<正>EV71肠道病毒主要感染儿童,表现为手足口病,因其为嗜神经细胞病毒,可引起无菌性脑膜炎,急性弛缓性麻痹,脑炎(主要是脑干脑炎),并可伴有严重的心肺症状,这些症状被称为神经源性肺水肿(NPE)[1]。病情可于短时间内迅速进展,导致呼吸循环衰竭,死亡率和致残率高。伴有脑干脑炎患儿撤机非常困难,容易并发肺部感染,病死率较高。

This paper summarizes the nursing care of 11 children recieving thrombolytic treatment for femoral central venous catheter related thrombosis. Proper venous access was established to ensure blood sampling and monitoring of clotting time during the treatment. Moreover,the clinical condition and adverse reaction of thrombolytic drug were observed intensively to ensure treatment success and patient safety. As a result,ten children were cured within 2-7 days and one child gave up the treatment.

肝豆状核变性(Wilson disease,WD)是一种常染色体隐性遗传性铜代谢障碍病,发病率为1/3万,以不同程度肝细胞损害、脑退行性病变和角膜色素环为临床特征[1].当首发症状为单一表现时,极易误诊.根据临床表现的不同可分为不同类型,以肝损害为首发症状者称为肝型WD.笔者对本院2001～2007年收治的51例肝型WD患者的临床资料进行回顾性分析报告如下.

股静脉置管是短期经皮置入中心静脉导管的一种[1],适用于抢救危重病人、快速输血输液或输入高渗液体及对周围血管有强烈刺激性液体时,监测中心静脉压,静脉内高营养的患者,也适用于预计病程长、外周静脉穿刺困难时.