Source: Chinese Medicine Innovation

Abstract summarize nursing experience through 38 cases of congenital heart disease and pulmonary infection in children care, and care of children by BNP levels before and after treatment to evaluate the efficacy of treatment and care. The results show that careful care is to enable children to restore an important measure, which keep the airway open, observe the condition is critical, health education, life care and psychological care is the key.

Key words congenital heart disease; pulmonary infection; nursing experience

Congenital heart disease (CHD, CHD) is a cardiovascular abnormalities caused by a group of birth defects in the embryo's disease, the most common heart disease in children. As part of its children with congenital heart disease with left to right shunt hemodynamic characteristics m flow increased pulmonary circulation and reduce blood circulation and lead to its easy with recurrent respiratory infections, more performance for breathing difficulties, irritability, feeding more difficult, diarrhea and other symptoms, severe cases can induce heart failure, if not timely treatment and intensive care, severe cases can be life-threatening in children. In this paper, 38 cases of congenital heart disease in children with pulmonary infection care, and achieved good results, now nursing reported as follows.

Materials and Methods

1.1 General Information August 2011 - August 2014 revenue hospitalized 38 cases of congenital heart disease and lung infections in children, including 20 males and 18 females. Age 0-1 years in 12 cases; 19 cases of 1-3 years; 3-6 years old in 7 cases. 12 cases in which the ventricular septal defect; 16 cases of atrial septal defect; 10 cases of arterial catheter is not closed. These results were confirmed by echocardiography diagnosis. All cases were prompted X-ray lung infection. Clinical signs: the majority of all cases can precordial auscultation smell and heart murmur, lung auscultation smell and the fine wet rales, some children could be heard and wheeze, and sputum.

1.2 Method treatment of children after admission be oxygen, anti-infective, expectorant, maintain water and electrolyte balance, symptomatic and supportive treatment, application of cardiac, diuretic, vasoactive drugs, if necessary.

1.3 Care

1.3health education health education has gradually become a key part of nursing work. Health education is a means of theory and a multidisciplinary approach, through a planned and organized, community education system, to help people understand their own health status, health hazards awareness factor, encourage people to consciously choose healthy behaviors and lifestyles, reduce or eliminate the risk factors that affect health

1.4 OUTCOME MEASURES through serum B-type natriuretic peptide (BNP) levels before and after treatment to evaluate the therapeutic effect. Detection methods: pulmonary infection in children with congenital heart disease in the first two days after admission and prior to discharge in the morning one day, fasting blood 5mL, to after 3000r / min, the serum was separated by centrifugation 10min, then placed in the refrigerator -800C within the save. Using Elisa kit. 1.5 Statistical analysis using PEMS3.1 software for statistical analysis, measurement data (x + s), said fruit with t test, P <0.05 was considered statistically significant.

2 Results

Pulmonary infection in children with congenital heart disease BNP as (535.2 + 55.7) pg / mL; children admitted to hospital to give a positive therapeutic intervention, BNP after treatment decreased to (] 37.4 ± 28.4) pg / mL, the difference was statistically significant (P <0.05).

3 Discussion

It was reported that every year, about 100,000 children are born with congenital heart disease in children since birth susceptible to lung infections have anatomical and physiological factors, the long-standing left to right shunt, pulmonary blood flow increased, lung in a continuous state of congestion, not only can lead to repeated lung infections and pneumonia pathogens locally as a medium, so that sicker pneumonia, pulmonary inflammation and complications are difficult to control.

The results suggest that, before and after treatment difference was statistically significant (P <0.05), described the patient's condition after treatment improved display meticulous care is to restore as soon as possible so that children of important measures. In the clinical care process, to keep the airway open, observe the condition is critical, health education, life care and psychological care is the key. Nurses should be based on the children while the center, with a high sense of responsibility, rich theoretical knowledge, the children provide continuous excellent professional skills, dynamic, excellent care, to better control of pulmonary infection, cardiac function adjustment, so that children can safely reach for surgery period.