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目的总结综合治疗婴幼儿卡波西样血管内皮瘤(Kaposiform hemangioendothelioma,KHE)伴卡-梅综合征(Kasabach-Merritt phenomenon,KMP)的护理经验。方法分析2013-01-2015-12我院收治的16例KHE伴KMP婴幼儿的临床资料、治疗过程、以及护理要点,总结护理经验及方法。结果通过严密监测血小板变化,预防出血,积极手术治疗,做好围手术期护理,2例患儿完整切除,15例肿瘤明显缩小血小板恢复正常,1例治疗不佳,所有患儿护理满意度超过95%。结论采取积极的综合治疗以及有效护理措施,多数患儿预后良好。
Objective To summarize the nursing experience of Kaposiform hemangioendothelioma (KHE) combined with Kasabach-Merritt syndrome (KMP) in the comprehensive treatment of infants and young children. Methods The clinical data, course of treatment, and nursing points of 16 KHE patients with KMP admitted to our hospital from January 2013 to December 2015 were analyzed. The nursing experience and methods were summarized. The results of strict monitoring of platelet changes, prevention of bleeding, active surgical treatment, perioperative nursing, complete resection of two cases of children, 15 cases of tumor was significantly reduced platelet returned to normal, 1 case of poor treatment, all children with more than satisfied with the care 95%. Conclusion The positive comprehensive treatment and effective nursing measures, the majority of children with good prognosis.