首页|1例难治性肾病综合征合并中毒性表皮坏死松解症患儿的护理

1例难治性肾病综合征合并中毒性表皮坏死松解症患儿的护理

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总结1例难治性肾病综合征合并中毒性表皮坏死松解症患儿的护理体会.患儿既往确诊难治性肾病综合征,疾病导致大量蛋白丢失,加上长期应用激素治疗,导致此次发病全身多系统受累及,皮肤失去屏障功能,极易因严重感染导致败血症、感染性休克、多器官功能衰竭等并发症的发生,治疗及护理难度极大.本案例的护理要点包括严密观察病情变化、保护性护理措施、皮肤护理、管道周围皮肤的保护、口腔护理、眼部护理、会阴部护理、疼痛护理及心理护理.经过21 d的精细化护理,患儿全身皮肤、黏膜完整,剥脱皮损基本修复,病情好转出院.
Nursing care of a child with refractory nephrotic syndrome complicated with toxic epidermal necrolysis
To summarize the nursing care of a child with refractory nephrotic syndrome complicated with toxic epidermal necrolysis.The child with refractory nephrotic syndrome was diagnosed in the past,and the disease led to the loss of a large number of proteins,coupled with the long-term use of corticosteroid therapy,which led to the involvement of multiple systems of the whole body and the loss of skin barrier function that was very easy to cause serious complications such as septicemia,septic shock and multiple organ failure due to severe infection,so it was very difficult to treat and nurse.The main nursing points of this case included:close observation of disease changes,protective nursing measures,skin care,skin protection around the pipeline,oral,eye,perineal mucosa care,pain care and psychological care.After 21 days of fine nursing,the whole body skin and mucous membrane were intact and the exfoliated lesions were basically repaired.The child's condition improved,leading to discharged from the hospital.

NursingRefractory nephrotic syndromeToxic epidermal necrolysis

曾悦惠、黄泽鑫

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汕头大学医学院第二附属医院儿科 汕头 515041

护理 难治性肾病综合征 中毒性表皮坏死松解症

2025

当代护士
湖南省护理学会

当代护士

影响因子:0.216
ISSN:1006-6411
年,卷(期):2025.32(1)