中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
19期
98-98,99
,共2页
慢性阻塞肺疾病%湿性疗法%伤口感染%护理
慢性阻塞肺疾病%濕性療法%傷口感染%護理
만성조새폐질병%습성요법%상구감염%호리
Chronic obstructive pulmonary disease%Moist therapy%Wound infection%Nursing
总结1例慢性阻塞性肺疾病急性加重期(AECOPD)患者并发带状疱疹后创面感染的护理。由于年老体弱同时伴有多种并发症,最突出的症状为缺氧。缺氧导致皮肤神经营养不良,抵抗力下降造成多种致病菌感染。且患者长期住院应用抗感染、糖皮质激素等治疗导致身体抵抗力差,伤口面积大,感染严重,难愈合等特点,在湿润环境愈合理论的指导下,采用了湿性疗法,选用甲硝唑注射液加庆大霉素和利巴韦林注射液局部湿敷患处,遵医嘱全身使用抗生素、抗病毒、平喘、化痰、强心、利尿和止痛等对证支持治疗,结合常规皮肤护理、做好患者的心理护理和健康教育,使创面得到连续有效的护理,加快了愈合速度。
總結1例慢性阻塞性肺疾病急性加重期(AECOPD)患者併髮帶狀皰疹後創麵感染的護理。由于年老體弱同時伴有多種併髮癥,最突齣的癥狀為缺氧。缺氧導緻皮膚神經營養不良,牴抗力下降造成多種緻病菌感染。且患者長期住院應用抗感染、糖皮質激素等治療導緻身體牴抗力差,傷口麵積大,感染嚴重,難愈閤等特點,在濕潤環境愈閤理論的指導下,採用瞭濕性療法,選用甲硝唑註射液加慶大黴素和利巴韋林註射液跼部濕敷患處,遵醫囑全身使用抗生素、抗病毒、平喘、化痰、彊心、利尿和止痛等對證支持治療,結閤常規皮膚護理、做好患者的心理護理和健康教育,使創麵得到連續有效的護理,加快瞭愈閤速度。
총결1례만성조새성폐질병급성가중기(AECOPD)환자병발대상포진후창면감염적호리。유우년로체약동시반유다충병발증,최돌출적증상위결양。결양도치피부신경영양불량,저항력하강조성다충치병균감염。차환자장기주원응용항감염、당피질격소등치료도치신체저항력차,상구면적대,감염엄중,난유합등특점,재습윤배경유합이론적지도하,채용료습성요법,선용갑초서주사액가경대매소화리파위림주사액국부습부환처,준의촉전신사용항생소、항병독、평천、화담、강심、이뇨화지통등대증지지치료,결합상규피부호리、주호환자적심리호리화건강교육,사창면득도련속유효적호리,가쾌료유합속도。
Summarizing 1 case of chronic obstructive pulmonary diseases acute exacerbation(AECOPD) patients complicated with wound infection after herpes zoster.In AECOPD patients with long duration and application fight infection in patients with long-term hospitalization and glucocorticoid treatment leads to the body resistance was poor,the wound area was large,serious infection,difficult to healing,healing in humid environment theory,under the guidance of the wet sex therapy,using metronidazole injection plus gentamycin local wet apply affected part and ribavirin injection,prescribed antibiotics and asthma, eliminating phlegm to bluff and pain relief support treatment,combined with regular skin care,made the patient’s psychological nursing and health education, continuous and effective nursing wounds,and is accelerate the healing.