短篇报道 Short Report

中毒性表皮坏死松解型药疹的护理

Published at: 2016年第36卷第10期

袁素娥 1 , 梁茜 1
1 中南大学湘雅医院感染病科,长沙 410008
通讯作者 素娥 袁 Email: 248143918@qq.com
DOI: 10.3978/j.issn.2095-6959.2016.10.043
基金:

摘要

目的:探讨中毒性表皮坏死松解型药疹(toxic epidermal necrolysis,TEN)的护理措施。方法:对9例TEN患者实施保护性隔离,在积极支持治疗的基础上,采用纳米银抗感染敷料联合无菌棉垫覆盖创面,安排特护确保基础护理、创面护理、病情观察到位。结果:9例患者均未发生创面感染,经过精心治疗护理原有感染创面治愈,8例痊愈出院未遗留疤痕,1例因多器官功能衰竭死亡。结论:在合理治疗的基础上,实施精心护理是提高TEN患者抢救成功率、降低创面感染、遗留疤痕等的重要策略。


Nursing care of the patients who had caught toxic epidermal necrolysis

Abstract

Objective: To investigate the nursing methods of skin mucosa for toxic epidermal necrolysis (TEN) epidermolysis and exfoliative patients in large area. Methods: Nine TEN hospitalized patients put under quarantine, with actively support treatment, were applied with the combination of nano-silver ion dressing and sterile pad to covering the wound. Intensive care and a strict watch were supported by the nursing experts in intensive care wards. Results: All 9 cases don’t get any skin mucosa infection, and 8 of them are discharged from hospital with good recovery of their skins and no scars or pigmentation. But the ninth one died from multiple organ failure. Conclusion: Based on the reasonable treatment, careful nursing was the key measures to increase survival of patients with TEN, reduce the rate of wound infection and scars or pigmentation occurrence.


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引用

引用本文: 素娥 袁, 茜 梁. 中毒性表皮坏死松解型药疹的护理[J]. 临床与病理杂志, 2016, 36(10): 1694-1696.
Cite this article as: YUAN Sue, LIANG Qian . Nursing care of the patients who had caught toxic epidermal necrolysis[J]. Journal of Clinical and Pathological Research, 2016, 36(10): 1694-1696.