[目的]探讨游泳在新生儿缺氧缺血性脑病(HIE)综合治疗中对患儿体重及生长发育的影响。[方法]将42例病情稳定的中度HIE患儿随机分为观察组和对照组,观察组在常规治疗基础上进行游泳治疗;对照组采用常规治疗。比较两组HIE患儿体重变化、运动发育等方面的情况。[结果]两组患儿体重比较、3个月时运动发育比较有统计学意义(P<0.05)。[结论]游泳治疗可促进HIE患儿的体重增长及生长发育。

We successfully indwelled needles in superficial cervical vein in 60 children patients, with no obstruction and infections, the longest time 7 d and the shortest 5 d. Before successful puncture in the superficial cervical veins, heparin cap was well connected, scalp vein set was connected, the thread led in and the air was exhausted. After successful puncture, 3M transparent dressing was use to fasten. During the process of puncture, skin disinfection should be paid attention to and fastening should be tight in order to avoid falling. Superficial cervical vein indwelled needle relieved children patients' pain greatly. With high success rate of puncture, it can improve working efficiency and is deeply welcome by medical staff and patients' parents.

目的探讨小儿肺动脉瓣狭窄经皮球囊成形术的护理.方法通过对7例先天性肺动脉瓣狭窄经皮球囊成形术(PBPV)的护理配合及加强生命体征与穿刺部位的观察,防止术后并发症的发生.结果7例患儿行PBPV术过程顺利,即时跨瓣压力差显著下降(＜20 mmHg),未出现并发症,患儿生长发育良好.结论做好全程护理是PBPV术成功的关键,并能有效防止并发症的发生.

目的:评价经导管介入治疗小儿动脉导管未闭(PDA)临床疗效.方法:从1996年8月至2001年5月应用Rashkind双面伞法、Sideris纽扣式补片法、弹簧圈法以及Amplatzer蘑菇伞堵闭法关闭6例PDA患儿.结果:6例均一次性堵闭成功,术后即刻造影有小量残余分流2例,其中1例术后24 h心脏彩超显示小量残余分流消失;其它4例术后即刻造影均无残余分流.结论:经导管应用弹簧圈法及Amplatzer蘑菇伞法堵闭PDA,临床疗效可靠、安全,可作为治疗小儿PDA的首选.

Through observing and nursing 38 infants with idiopathic thrombocytopenic purpura, the author held it was key to closely observe the changes in infant consciousness, vital signs, hemorrhagic spots in skin and signs of internal hemorrhage. Unlike adults, infants, unable to express, depended on nurse's frequent inspections, close observation, regular communication with their families to find out the changes of disease and thus take relevant measures. The key for nursing rescue lies in hemorrhage care, enhancement of caring intracranial hemorrhage and hemorrhage in digestive tract, prevention of intracranial hemorrhage and observation of the aura. Besides, it is also important to conduct discharge instrnction, teach parents and infants to identify the signs of hemorrhage in a correct way and avoid wounds and invite them back for periodical re-examination.

目的研究应用国产磨菇伞堵闭器介入治疗动脉导管未闭的护理.消除或减少术中病人出现的不良反应,确保手术的顺利进行,避免术后并发症的发生.方法术前进行心理护理,饮食、皮肤准备、导管消毒、青霉素、碘过敏试验.术中配合、监护.术后穿刺局部、尿液颜色及量的观察,动脉压监测,基础护理,健康指导.结果手术顺利,无发生并发症,收到良好效果,治愈出院.