文章摘要

中毒性表皮坏死松解型药疹的护理

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

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。
关键词: 中毒性表皮坏死松解型药疹 纳米银 抗感染敷料 创面治疗

Nursing care of the patients who had caught toxic epidermal necrolysis

Authors: 1,1LIANG Qian
1 Department of Infectious Diseases, Xiangya Hospital, Central South University, Changsha 410008, China

CorrespondingAuthor: YUAN Sue Email: 248143918@qq.com

DOI: 10.3978/j.issn.2095-6959.2016.10.043

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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