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目的 探讨小儿先天性心脏病术后惊厥的临床治疗护理方法,提高监护诊疗水平.方法 回顾2013年8月在我院小儿重症监护室收治的1例先天性心脏病术后合并惊厥发作患儿的临床资料,总结临床监护诊疗方法.结果 本例患儿在3次惊厥发作后经给药治疗及周密护理,症状得到控制,未发生危重状况,后安全平稳转入普通病房治疗后出院.结论 加强心脏直视术后监测,及时进行惊厥发作时的处理,快速做出发作原因排查与有效预防,对于防治和控制先天性心脏病患儿合并术后惊厥至关重要.

Objective To investigate and improve clinical treatment and care methods of convulsions in postoperative children with congenital heart disease.Methods One postoperative child suffered from convulsions with congenital heart disease in our hospital PICU in August 2013 was reviewed,and then related clinical monitoring treatment methods were summarized.Results The patient suffered three times of convulsions and after drug treatment and careful nursing,the symptoms were under control without critical condition.Then the patient was safely and stably transited into the general ward and discharged.Conclusions There are three essential points for nursing convulsions in postoperative child with congenital heart disease:strengthen monitoring after heart surgery,handle symptom of seizures in time; rapidly make sure the reasons of convulsions and make effective preventions.