First aid and nursing care of a child with abdominal multi-organ burn complicated with liver laceration
10.3761/j.issn.0254-1769.2024.13.016
- VernacularTitle:1例腹腔多器官烧伤合并肝撕裂伤患儿的急救与护理
- Author:
Qingqing SHEN
1
;
Hejun LI
;
Xuebing ZHANG
;
Chen YANG
Author Information
1. 310052 杭州市 浙江大学医学院附属儿童医院普外/胃肠中心
- Keywords:
Explosive Injury;
Burn;
Abdominal Injuries;
Laceration of Liver;
First Aid;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2024;59(13):1645-1649
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a pediatric patient with multiple organ burns in the abdominal cavity and liver laceration caused by a fireworks explosion.The following nursing points were implemented:immediate activation of a multidisciplinary trauma rescue team upon admission to initiate emergency measures for traumatic shock;implementation of target-oriented fluid management to expedite postoperative intestinal function recovery;active control of abdominal infection to minimize the risk of septic shock;thorough and accurate assessment was conducted to prevent postoperative complications such as gastrointestinal hemorrhage,bile-leakage,gallbladder perforation,and delayed intestinal necrosis;nutritional screening and assessment was performed to develop personalized nutritional support programs;emphasis should be placed on pain assessment to implement individualized analgesia measures;the provision of high-quality psychological support focusing on addressing psychological trauma.The child was successfully discharged 36 days after surgery and exhibited satisfactory recovery during the two-month follow-up period.
