院前急救及全面护理在32例儿童充血性心力衰竭救治中的分析(1)
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[摘要] 目的 探讨儿童充血性心力衰竭的院前急救及护理方法，为提高院前急救成功率提供可行有效的方法。 方法 选取2007年1月~2011年1月我院急诊科救治，经确诊属于充血性心力衰竭的32例患儿，将其随机分为对照组和实验组，每组各16例。对照组进行常规急救治疗及护理，实验组在常规治疗基础上给予多巴胺联合米力农治疗，同时辅以全面护理。 结果 实验组总有效率为93.75%，对照组总有效率75.00%，两组总有效率比较，差异有统计学意义(P < 0.05)。 结论 根据患儿的病因，采取急救有效的救治方法同时配合高效全面的护理措施，提高了儿童充血性心力衰竭的救治率，降低了死亡率。
[关键词] 儿童；充血性心力衰竭；院前急救
[中图分类号] R725.6； R473.5 [文献标识码] C [文章编号] 1673-7210(2012)02(c)-0125-03
Analysis of the pre-hospital care and comprehensive care in the treatment of 32 children with congestive heart failure
MA Ziqin1 YANG Guimei1 MA Xianyun2
1.Emergency Department, the Fourth Affiliated Hospital of Inner Mongol Medical Colleges, Inner Mongolia Autonomous Region, Baotou 014030, China; 2.Emergency Department, the Fourth Hospital of Baotou City, Inner Mongolia Autonomous Region, Baotou 014030, China
[Abstract] Objective To explore the ways of pre-hospital care and comprehensive care in children with congestive heart failure, to provide the practical and effective method in improving the success rate of the first aid. Methods From January 2007 to January 2011 who came to our hospital emergency department for treatment, the 32 children with congestive heart failure were divided into control gorup and experiment group, each group had 16 cases. Control group was given the first aid treatment and care, experiment group was given Milrinone combined with Dopamine on the basis of conventional therapy treatment and comprehensive care. Results The total effective rate of experiment group was 93.75%, the total effective rate of control group was 75.00%, there were significant differences between the two groups (P < 0.05). Conclusion According to children's causes, taking the first aid and effective treatment method in conjunction with efficient comprehensive nursing care can improve children's treatment of congestive heart failure rate and decreased the mortality.
[Key words] Children; Congestive heart failure; Pre-hospital care
充血性心力衰竭[1]是一种临床综合征，系由于某些原因使心脏不能将静脉回心的血液充分排出，以致心搏出量相对或绝对减低，不能满足全身组织的需要，机体发生血液瘀积，产生一系列临床症状及体征。可分左心衰竭、右心衰竭和全心衰竭。主要表现为突然呼吸困难加重、烦躁、出汗、面色苍白和青紫、四肢发凉、心率快、心音低钝有时出现奔马律、心前区隆起、心尖搏动弥散、心界扩大、肝脏肿大等。充血性心力衰竭在儿童时期所发疾病中属于急危重症[2]，如不采取合理有效的治疗手段，患儿的病死率很高，因此本研究的目的在于探讨儿童充血性心力衰竭的院前急救及护理方法，为提高院前急救成功率提供可靠有效的实验依据。
1 资料与方法
1.1 一般资料
选取2007年1月~2011年1月我院急诊科救治 ......
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