The observation and nursing of critical ill children with influenza A H1N1

Abstract

Objective To probe into the nursing and focus on disease observation of critical ill children with influenza A H1N1. Methods Twenty seven critical ill children with influenza A H1N1were observed, including 11 cases with acute respiratory distress syndrome (ARDS) , 9 cases with MODS, 7 cases with encephalopathy associated with influenza A H1N1. Results Among these patients, 24 cases were cured, 3 cases combination with encephalopathy associated with influenza A H1N1 were dead. Critically ill children were mostly school - age children, severe pneumonia patients were shortness of breath, hypoxemia as prominent symptoms, tree - like casts serious Asthmatic bronchial pneumonia showed seriously choking, a stream merger - related encephalopathy showed varying degrees of neuropsy-chiatric symptoms, condition appeared irreversible deep coma. Conclusions To identify precursor symptoms of H1N1 critically ill patients early, provide respiratory support as soon as possible, early intervene and treat flow - related encephalopathy are the roles to control the progress in reducing the mortality of critical illness. Key words: Influenza A H1N1; Critical ill; Children; Nursing