先天性心脏病术后延迟关胸患儿程序式喂养的护理

总结5例复杂性先天性心脏病术后延迟关胸患儿程序式喂养的护理经验。护理要点包括：由儿童心脏病专家、心胸外科医生、心脏专科护士、营养师、胃肠病专家、康复治疗专家联合制订程序式喂养方案;微量喂养以维持其肠道功能;肠道功能评估后尽早启动肠内营养,初始喂养量设定为1~2 ml/（kg·h）;联合使用腹围测量（1次/12 h）、肠鸣音及胃肠道症状评估喂养不耐受;有序规律地推进肠内营养的实施,持续监测患儿的营养状况,每周监测2次体重、1次身长。本组均顺利关胸,达到全量经口喂养,病情缓解后出院。

Nursing care of pediatric patients receiving procedural feeding with complicated congenital heart disease underwent delayed chest closure

This article summarized nursing experience of procedural feeding for five pediatric patients with complicated congenital heart disease underwent post-operative delayed chest closure. Key nursing points included: a procedural feeding program was developed together with pediatric cardiologists,cardiac surgeons,cardiac specialist nurse,nutritionists,gastroenterologists and rehabilitation specialists; minimal feeding was performed to maintain intestinal function; enteral nutrition was initiated as early as possible after full assessment of intestinal function,and initial feeding volume was set at 1 to 2 ml/（kg·h）; feeding intolerance was assessed by abdominal circumference measurement（once/12 h）,bowel sounds and gastrointestinal symptoms; implementation of enteral nutrition was advanced in an orderly and regular manner,and nutritional status of pediatric patients was continuously monitored,weight was assessed twice a week,and length of body was assessed once a week. All pediatric patients in this group successfully received chest closure,and all reached the full amount of oral feeding,who were discharged after the disease was relieved.