高危早產(chǎn)三胞胎的護(hù)理體會

論文編號:HL050  論文字?jǐn)?shù):7499.頁數(shù):21

論文題目：高危早產(chǎn)三胞胎的護(hù)理體會
摘　要
 早產(chǎn)兒是指孕齡在29周與37周之間出生的新生兒，此期新生兒體重偏小，由于各系統(tǒng)器官尚未發(fā)育成熟，功能相對不完善，如體溫中樞發(fā)育不全，體溫調(diào)節(jié)功能差導(dǎo)致體溫不穩(wěn)定，易并發(fā)硬腫癥；呼吸中樞發(fā)育不夠成熟，肺泡表面活性物質(zhì)不足，易并發(fā)肺炎、肺不張等；早產(chǎn)兒胃容量小，且呈橫位，容易溢乳，因此在喂養(yǎng)上有很大困難；早產(chǎn)兒的免疫功能不全，抵抗力低，容易感染；另外，其肝功能不成熟，毛細(xì)血管脆性高，易出現(xiàn)顱內(nèi)出血、肺出血及黃疸；還由于其甲狀腺功能低下，易致早產(chǎn)兒缺鈣等，此時(shí)，早產(chǎn)兒任何一系統(tǒng)出現(xiàn)情況，都有可能是致命的。因此，我們醫(yī)生和護(hù)士都應(yīng)具備高度的責(zé)任感和持久的耐心和滿腔的愛心來對待這脆弱的生命。這三胞胎通過我們醫(yī)護(hù)人員的精心護(hù)理和嫻熟的專業(yè)治療，終于渡過難關(guān)，轉(zhuǎn)危為安，得以順利健康地成長。
 關(guān) 鍵 詞：早產(chǎn)兒；三胞胎；護(hù)理；
 
 論文類型：.應(yīng)用研究
  
 
 Title: The nursing feeling about triplets of prematureinfant in high danger
ABSTRACT
 The premature infant are the newborn infants with gestational age between 29 weeks and 37 weeks.These newborns have low weight, and the functions are incomplete because  all the systerm and organs  have not grown mature. For example, the body heat is unstable as the heat centre is weak in regulating the body heat,so the premature infant are easy to get the scleredema.And the premature infant are sensible to pneumonia and pulmonary atelectasis due to the disability of breath centre and insufficient of alveolar surfactant. As the cabability of the stomach is small ,thus the galactorrhea is often happened, therefore, we have great difficulties in feeding the premature infant.Samely,the incomplete function of immuny system and the weak resistence to the stressors make the premature infant sensible to infections.Besides, the shortment of hepatic function and the increased capillary fragility lead to intracranial hemorrhage,pneumorrhagia and jaundice.In addition,the thyroid hypofunction often cause calcium deficiency.At this stage, ,it will be vital when any system has problem. In summary,both doctors and nursers should own high responsibility,great patience and full love towards the fragile life. Proper treatment and nursing were given to the  triplets according to the characterization of every system. Finally these triplets overcame the difficulties and got recovered from the dangerous conditions through our careful nursing and skillfull treatment

 KEY WORDS: premature infant； nursing；triplets；
 
 TYPE OF THESIS: Application

 
目  錄
摘　要 I
ABSTRACT III
目  錄 V
1 緒論 1
1.1 背景和意義 1
1.2 本研究的目的和目標(biāo) 1
1.3 關(guān)鍵詞及定義 1
1.4 文獻(xiàn)回顧 1
2 研究設(shè)計(jì) 3
2.1 研究對象 3
2.2 臨床資料 3
2.3 研究方法及步驟 3
3 研究結(jié)果 7
4 討論 9
5 推論及建議 11
致    謝 13
參考文獻(xiàn) 15