中华急危重症护理杂志2024,Vol.5Issue(3) :244-247.DOI:10.3761/j.issn.2096-7446.2024.03.010

Stanford A型主动脉夹层患者术后皮肤衰竭及黏膜损伤的全程管理

Overall management of skin failure and mucosal injury after Stanford type A aortic dissection surgery

王霏斐 翁峰霞 桑明 蒋春艳 马青娜 卫建华
中华急危重症护理杂志2024,Vol.5Issue(3) :244-247.DOI:10.3761/j.issn.2096-7446.2024.03.010

Stanford A型主动脉夹层患者术后皮肤衰竭及黏膜损伤的全程管理

Overall management of skin failure and mucosal injury after Stanford type A aortic dissection surgery

王霏斐 1翁峰霞 1桑明 1蒋春艳 1马青娜 1卫建华1
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作者信息

  • 1. 310003 杭州市 浙江大学医学院附属第一医院外科监护室
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摘要

总结1例Stanford A型主动脉夹层患者术后皮肤衰竭及黏膜损伤的护理体会.针对Stanford A型主动脉夹层患者术后出现急性皮肤衰竭、胃肠黏膜弥漫性损伤及口鼻黏膜器械相关压力性损伤等问题,在全程护理过程中及时识别并积极处理相关危险因素,实施阶段性翻身策略,优化皮肤护理方案,提供个体化营养供给及失禁相关性皮炎管理,关注口鼻腔黏膜避免器械相关压力性损伤.经ICU住院治疗53 d,全身皮肤黏膜状况好转,术后第70天康复出院.

Abstract

This study summarized nursing experience of a patient with Stanford type A aortic dissection,who suffered from skin failure and mucosal injury after surgery.The patients had acute skin failure,diffuse gastrointestinal mucosal injury,and oral and nasal mucosa instrument-related pressure injury.Throughout the nursing process,we identified and addressed relevant risk factors in a timely manner,and implemented a phased turnover strategy to optimize the skin care program.,offered customized nutritional plans and specialized care for managing incontinence-related dermatitis,prioritized the protection of the oral and nasal mucosa to prevent device-related pressure injuries.Following 53 days of treatment in ICU,the patient had significant improvement in the condition of skin and mucosa,and was discharged from the hospital on the 70th day post-surgery.

关键词

动脉瘤,夹层/危重病护理/急性皮肤衰竭/重症监护

Key words

Aneurysm,Dissecting/Critical Care Nursing/Acute Skin Failure/Intensive Care

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出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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