首页|一例老年中毒性表皮坏死松解症合并消化道穿孔患者的护理

一例老年中毒性表皮坏死松解症合并消化道穿孔患者的护理

Nursing care of an elderly patient with toxic epidermal necrolysis complicated with digestive tract perforation

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总结2022年9月我院收治的1例老年中毒性表皮坏死松解症(TEN)合并消化道穿孔患者的护理经验.护理要点:早期识别消化道穿孔,及早进行急诊手术;在全面皮损评估的基础上,分别从预防表皮分离、创面处理及黏膜护理3个方面制定有效的创面护理方案;适时采取多种疼痛干预措施;多学科协作为患者制定个性化的营养支持方案;做好体液管理和用药护理.经过12d的精心治疗和护理,患者病情好转出院.出院1周后随访,患者皮损完全愈合,术后恢复良好.
The objective of this study was to summarize the nursing experience of a case of elderly patients with toxic epidermal necrolysis(TEN)complicated with digestive tract perforation in September 2022.Nursing points were as followed:Early identification of digestive tract perforation,early emergency surgery;On the basis of com-prehensive skin lesion assessment,effective wound care programs were developed from three aspects,which were preven-tion of epidermal separation,wound treatment,and mucosal care;Taking a variety of pain intervention measures in time;Multidisciplinary collaboration to develop personalized nutritional support programs for patients;Doing a good job of body fluid management and medication care.After 12 days of careful treatment and nursing,the patient's condition improved and discharged.After 1 week of follow-up,the patient's skin lesions healed completely and recovered well after operation.

toxic epidermal necrolysisdigestive tract perforationskin carenutrition supportold people

石琳、李兵发、黄思婷、李君、韩辉武、孙絮财

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中南大学湘雅医院临床护理学教研室,湖南长沙 410008

中毒性表皮坏死松解症 消化道穿孔 皮损护理 营养支持 老年人

湖南创新型省份建设专项任务项目

2022ZK4066

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(5)
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