12例早产儿甲状腺功能亢进的诊治及临床护理

目的探讨并分析早产儿甲状腺功能亢进的诊治方法以及临床上的护理体会。方法对在笔者所在医院就诊的12例早产儿甲状腺功能亢进患儿的病例资料进行回顾性的分析。12例患儿的临床表现主要包括高血压、眼球突出、黄疸、心速过快、甲状腺肿大、体重增长缓慢等。主要的治疗方法应以降低患儿血液内甲状腺激素浓度为主,通过服用普萘洛尔、丙基硫氧嘧啶等药物进行治疗。治疗同时还应对患儿眼部、皮肤等部位进行细致护理。结果 12例患儿中11例病情得到有效控制,仅1例患儿因合并发生其他病症治疗无效,5 d后死亡。结论要想能够对早产儿甲状腺功能亢进患儿的病情进行有效的缓解和控制并减少并发症的发生,就必须要及早地进行诊断和治疗,并且治疗过程中要结合全面的护理。

Experience of diagnosis,therapy and clinical nursing of 12 cases of premature infants with hyperthyresis

Objective To discuss and analyse the experience of diagnosis,therapy and clinical nursing of hyperthyresis of premature infant.Methods 12 cases of medical record of premature infants who were admitted to our hospital with hyperthyresis were retrospectively analysed.The clinical symptoms of 12 cases mainly include hypertension,exophthalmos,jau ndice,tachycardia,goiter,slow increase of body weight,etc.The mainly therapeutic method decrease the concentration of blood thyroid hormone of patients,take propranolol,propylthiouracil and the like.Meanwhile,the eyes and skin of patients should be meticulously cared.Results The condition of 11 cases were effectively controlled,and only 1 patient was dead after 5 days of treatment due to the co-morbid conditions.Conclusion In order to alleviate and control the condition and decrease the occurrence of complications in premature infants with hyperthyresis,an early diagnosis,therapy and a comprehensive care during the course of therapy were needed.