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目的分析重症登革热患者的护理过程,为提高重症登革热的护理质量提供经验。方法回顾性分析121例重症登革热患者的临床资料,根椐重症登革热患者的临床特征采取有效的护理措施。结果 121例重症登革热患者老年及二次感染患者增多,都有明显的中毒症状,以血小板减少(94%),白细胞减少(82%),明显的出血倾向为主,其中并发严重出血63例(52.1%),发生休克66例(54.5%)。并发急性心肌炎56例(46.3%)。结论针对重症患者的临床特征、实验室检查采取有效的护理措施,重点密切观察病情变化,做到及时干预,减少并发症发生,提高疾病的治愈率,重视出院后的健康教育,预防再发感染。
Objective To analyze the nursing process in patients with severe dengue and provide experience for improving the quality of nursing care in patients with severe dengue fever. Methods The clinical data of 121 cases of severe dengue fever were retrospectively analyzed. The effective nursing measures were taken according to the clinical features of severe dengue fever. Results 121 patients with severe dengue were found to have more elderly and secondary infections with obvious symptoms of poisoning. Thrombocytopenia (94%), leucopenia (82%) and predominant bleeding tendencies were predominant. Among them, 63 cases were complicated with severe bleeding 52.1%), shock occurred in 66 cases (54.5%). 56 cases complicated with acute myocarditis (46.3%). Conclusion For the clinical features of critically ill patients, laboratory tests to take effective care measures, focusing on close observation of changes in condition, so that timely intervention to reduce complications and improve the cure rate of the disease, emphasis on health education after discharge, prevention of recurrent infections .