Beckwith-Wiedemann综合征频发低血糖1例患儿的护理
Nursing care of a child with Beckwith-Wiedemann Syndrome frequent hypoglycemia
摘要目的:总结1例Beckwith-Wiedemann综合征巨大儿频发低血糖的血糖管理及护理经验。方法:组建多学科团队,对1例Beckwith-Wiedemann综合征巨大儿制订个体化护理计划。应用动态血糖监测系统严密监测患儿血糖波动,根据血糖情况动态调节输液量及奶量,及时发现并处理低血糖;加强患儿皮肤护理并对家属实施心理护理。结果:经过精细化治疗及护理,患儿生命体征稳定,血糖维持在正常范围后出院。结论:多学科团队指导下使用动态血糖监测系统能有效监测并控制Beckwith-Wiedemann综合征患儿的血糖波动情况,可为患儿进一步的治疗提供基础。
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abstractsObjective:To summarize the experience of blood glucose management and nursing for a newborn with repeated hypoglycemia in Beckwith-Wiedemann syndrome.Method:A multidisciplinary team was formed, and formulated an individualized care plan for a large infant with Beckwith-Wiedemann syndrome. A dynamic blood glucose monitoring system was used to closely monitor blood glucose fluctuations for this children, dynamically adjusted the amount of infusion and milk according to the blood sugar situation, detected and dealed with hypoglycemia in time, strengthened the skin care of child and implemented psychological care for the family.Results:After refined treatment and care, the child′s vital signs were stable, and his blood sugar could maintain within a normal range before being discharged from the hospital.Conclusions:The use of dynamic blood glucose monitoring system under the guidance of a multidisciplinary team can effectively monitor and control the blood glucose fluctuations of children with BWS syndrome, which can provide a basis for further treatment of children.
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