儿童噬血细胞性淋巴组织细胞增生症的护理进展
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摘要
噬血细胞性淋巴组织细胞增生症在临床上来势凶猛,病情危重,死亡率高。护理工作中在给予系统治疗的同时,做好症状护理、用药护理、基础护理、重视多脏器功能障碍,配合医生做好早期护理干预,针对患儿的病情变化、阳性体征、化验危急值的回报,及时更改护理计划,采取有效的护理措施,不仅能够减少并发症的发生,同时降低患儿的死亡率。加强家长和年长患儿的心理护理及疾病知识的宣教工作,增强患儿战胜疾病的信心,使其积极配合医护人员治疗,有利于疾病的康复。
Hemophagocytic lymphohistiocytosis(HLH) is a critical disease with a ferocious process and high mortality. Systematic therapy and nursing work should be given to these patients. Symptomatic nursing, medical nursing and basic nursing should be done well. Pay attention to the multiple organ dysfunction. Early nursing intervention should be done in the cooperation with doctors. In response to the changes of patients' conditions, positive signs, critical values of laboratory tests, nursing plan should be timely changed and nursing measures should be effectively taken. It can reduce the incidence of complications and mortality. The psychological nursing and propaganda of disease knowledge for elder children and their parents should be strengthened. The confidence in overcoming the disease should be boosted to actively cooperate with medical staff in treatment. It will be helpful to the rehabilitation of the disease.
Hemophagocytic lymphohistiocytosis(HLH) is a critical disease with a ferocious process and high mortality. Systematic therapy and nursing work should be given to these patients. Symptomatic nursing, medical nursing and basic nursing should be done well. Pay attention to the multiple organ dysfunction. Early nursing intervention should be done in the cooperation with doctors. In response to the changes of patients' conditions, positive signs, critical values of laboratory tests, nursing plan should be timely changed and nursing measures should be effectively taken. It can reduce the incidence of complications and mortality. The psychological nursing and propaganda of disease knowledge for elder children and their parents should be strengthened. The confidence in overcoming the disease should be boosted to actively cooperate with medical staff in treatment. It will be helpful to the rehabilitation of the disease.
引文
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[3]王旖旎,王昭.《Multicenter study of combination DEP regimen as a salvage therapy for adult refractory hemophagocytic lymphohistiocytosis》解读——难治性噬血细胞综合征挽救治疗的临床探索[J].临床血液学杂志,2016,29(3):351-353.
[4]张红,李锦梅,王锦云.15例合并弥散性血管内凝血的噬血细胞综合征病人的护理[J].全科护理,2016,14(7):693-695.
[5]林梦.儿童霍奇金淋巴瘤自体干细胞移植术后复发并发嗜血细胞综合征1例临床护理[J].齐鲁护理杂志,2017,23(6):96-97.
[6]谢春华,刘婷婷,姜玉娥,等.32例儿童噬血细胞综合征的护理体会[J].当代护士,2013,9:69-70.
[7]王颖超,刘冬杰,马丽娜.儿童噬血细胞综合征与人微小病毒B19感染的相关性及临床特征分析[J].中国当代儿科杂志,2015,17(1):26-27.
[8]刘雪莲.一例嗜血细胞综合征合并低钾血症患者的护理[J].护士进修杂志,2016,31(2):190-191.
[9]王静,张莹,毕研杰,等.嗜血细胞综合症患者临床护理研究[J].西北国防医学杂志,2015,36(6):385-387.
[10]张丹如,金茹,黄建芬.感染相关性噬血细胞综合征患儿的护理[J].护理研究,2013,17(2):157-158.
[11]吴瑞明,关萍.甲型流感病毒重症感染致嗜血细胞综合征的护理[J].吉林医学,2014,35(17):3889-3990.
[12]张艳,刘维,温佳.1例急性重型肝炎继发嗜血细胞综合征的护理[J].护理研究,2015,7(29):2427-2428.
[13]阮海涛,徐俪,罗丹,等.继发性噬血性淋巴组织细胞增生症患儿的护理[J].护理学杂志,2016,31(7):31-33.
[14]徐晓东,曹艳超,刘晓林,等.1例噬血细胞综合征患者行单倍体造血干细胞移植术并发皮肤损害的护理[J].中华护理杂志,2017,52(5):586-588.
[15]刘林霞,张玉侠.弱激光疗法防治化疗所致口腔粘膜炎的研究进展[J].护理学杂志,2014,29(2):92-94.
[16]何娅娜,魏晓琦,冯进.金玉漱口水用于防治白血病化疗性口腔炎[J].护理学杂志,2015,30(3):39-40.
[17]王莉,付阿丹,朱江.自制坐浴器联合高渗盐水甲硝唑坐浴防治肛周感染[J].护理学杂志,2014,29(23):23-26.
[18]阿孜古力·艾合麦提,胡金辉,王慧颖.儿童嗜血细胞综合症的18例护理体会[J].医学前沿,2015,5(23):33-34.
[19]曹小红,杨红梅,肖荣桃,等.56例嗜血细胞综合征患儿的护理体会[J].继续医学教育,2015,29(10):123-124.
[20]宋杨.5例噬血细胞综合征患儿的护理体会[J].中国实用医药,2014,1(1):227-228.
[2]朱俪,孟海涛.血管炎并发嗜血细胞综合征1例[J].中外医学研究,2015,6(18):77-78.
[3]王旖旎,王昭.《Multicenter study of combination DEP regimen as a salvage therapy for adult refractory hemophagocytic lymphohistiocytosis》解读——难治性噬血细胞综合征挽救治疗的临床探索[J].临床血液学杂志,2016,29(3):351-353.
[4]张红,李锦梅,王锦云.15例合并弥散性血管内凝血的噬血细胞综合征病人的护理[J].全科护理,2016,14(7):693-695.
[5]林梦.儿童霍奇金淋巴瘤自体干细胞移植术后复发并发嗜血细胞综合征1例临床护理[J].齐鲁护理杂志,2017,23(6):96-97.
[6]谢春华,刘婷婷,姜玉娥,等.32例儿童噬血细胞综合征的护理体会[J].当代护士,2013,9:69-70.
[7]王颖超,刘冬杰,马丽娜.儿童噬血细胞综合征与人微小病毒B19感染的相关性及临床特征分析[J].中国当代儿科杂志,2015,17(1):26-27.
[8]刘雪莲.一例嗜血细胞综合征合并低钾血症患者的护理[J].护士进修杂志,2016,31(2):190-191.
[9]王静,张莹,毕研杰,等.嗜血细胞综合症患者临床护理研究[J].西北国防医学杂志,2015,36(6):385-387.
[10]张丹如,金茹,黄建芬.感染相关性噬血细胞综合征患儿的护理[J].护理研究,2013,17(2):157-158.
[11]吴瑞明,关萍.甲型流感病毒重症感染致嗜血细胞综合征的护理[J].吉林医学,2014,35(17):3889-3990.
[12]张艳,刘维,温佳.1例急性重型肝炎继发嗜血细胞综合征的护理[J].护理研究,2015,7(29):2427-2428.
[13]阮海涛,徐俪,罗丹,等.继发性噬血性淋巴组织细胞增生症患儿的护理[J].护理学杂志,2016,31(7):31-33.
[14]徐晓东,曹艳超,刘晓林,等.1例噬血细胞综合征患者行单倍体造血干细胞移植术并发皮肤损害的护理[J].中华护理杂志,2017,52(5):586-588.
[15]刘林霞,张玉侠.弱激光疗法防治化疗所致口腔粘膜炎的研究进展[J].护理学杂志,2014,29(2):92-94.
[16]何娅娜,魏晓琦,冯进.金玉漱口水用于防治白血病化疗性口腔炎[J].护理学杂志,2015,30(3):39-40.
[17]王莉,付阿丹,朱江.自制坐浴器联合高渗盐水甲硝唑坐浴防治肛周感染[J].护理学杂志,2014,29(23):23-26.
[18]阿孜古力·艾合麦提,胡金辉,王慧颖.儿童嗜血细胞综合症的18例护理体会[J].医学前沿,2015,5(23):33-34.
[19]曹小红,杨红梅,肖荣桃,等.56例嗜血细胞综合征患儿的护理体会[J].继续医学教育,2015,29(10):123-124.
[20]宋杨.5例噬血细胞综合征患儿的护理体会[J].中国实用医药,2014,1(1):227-228.