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目的探讨小儿烧伤并发惊厥的原因及护理措施。方法回顾性分析2010年3月-2012年2月收治的35例患儿烧伤并发惊厥的临床病历资料。结果小儿烧伤惊厥的原因有休克、高热、电解质紊乱、烧伤毒血症、脑缺氧脑水肿,各种原因之间相互影响。本组35例患儿中,惊厥持续时间30 s～5 min不等,34例治愈,1例因多器官功能衰竭死亡,所有患儿随病情而好转。结论小儿烧伤后并发惊厥的原因较多,在治疗和护理过程中应随时把握病情变化,正确处理患儿高热、电解质紊乱等,一旦发生惊厥应采取及时有效的救护措施,防止意外发生。
Objective To investigate the causes and nursing measures of pediatric burn with convulsions. Methods A retrospective analysis of clinical data of 35 cases of children with burn complicated by convulsion from March 2010 to February 2012 was conducted. Results The causes of pediatric seizures were shock, hyperthermia, electrolyte imbalance, burn septicemia, cerebral hypoxic cerebral edema, and various causes. The group of 35 children, convulsions lasting from 30 seconds to 5 minutes, 34 cases were cured, 1 case died of multiple organ failure, all children with the condition improved. Conclusion There are many causes of convulsion after pediatric burn. During the treatment and nursing, the changes of the disease should be grasped at any time and the fever and electrolyte imbalance in children should be correctly treated. Once the convulsion occurs, timely and effective ambulance measures should be taken to prevent accidents.