CAJ | 학술논문

目的：探讨鼻脑毛霉菌病的临床特点及护理对策，提高对该病的认识以及该病的护理质量。方法回顾分析8例鼻脑毛霉菌病的临床过程，从患者的病程进展分析该病的临床特点以及护理措施。结果共收集8例患者，分别有糖尿病或酮症酸中毒、放疗史或贫血等全身免疫功能低下的前期基础，临床症状为头痛，出现眶尖综合征。对患者重点进行了局部体征观察、围术期颅内压及全身情况变化观察，药物不良反应观察及原发病护理及心理、基础护理，住院期间患者未发生相关护理事件，相应护理措施收到一定效果。1例在发病后1周死亡，4例存活3～12个月，3例仍存活，随访未见复发。结论鼻脑毛霉菌病是继发于全身免疫状态低下的严重疾病，病变累及眼眶和颅内，病情进展较快，死亡率高。早期发现，及早手术清理病灶、配合全身综合治疗和对应护理措施可延缓病程进展。
목적：탐토비뇌모매균병적림상특점급호리대책，제고대해병적인식이급해병적호리질량。방법회고분석8례비뇌모매균병적림상과정，종환자적병정진전분석해병적림상특점이급호리조시。결과공수집8례환자，분별유당뇨병혹동증산중독、방료사혹빈혈등전신면역공능저하적전기기출，림상증상위두통，출현광첨종합정。대환자중점진행료국부체정관찰、위술기로내압급전신정황변화관찰，약물불량반응관찰급원발병호리급심리、기출호리，주원기간환자미발생상관호리사건，상응호리조시수도일정효과。1례재발병후1주사망，4례존활3～12개월，3례잉존활，수방미견복발。결론비뇌모매균병시계발우전신면역상태저하적엄중질병，병변루급안광화로내，병정진전교쾌，사망솔고。조기발현，급조수술청리병조、배합전신종합치료화대응호리조시가연완병정진전。
Objective To study the clinical features and nursing strategy of rhinocerebral mucormycosis , and to improve the knowledge of the disease and the quality of care .Methods The data of 8 cases with rhinocerebral mucormycosis were reviewed and analyzed .The clinical features and nursing intervention were analyzed throughout the course of disease .Results The underlying immunosuppressive condition of the 8 cases of mucormycosis had diabetes , diabetic ketoacidosis , anaemia or adiotherapy with headache and orbitial apex syndrome as the early symptoms .Nurses focused on local signs observation , perioperative change of intracranial pressure and general conditions , drug adverse reaction observation and nursing care of original disease , mental care, and basic nursing care .There were certain effects for corresponding nursing measures without occurrence of nursing events duration of hospital stay .1 patient died within one week in hospital;4 patients had survived from 3 to 12 months; and 3 patients had been alive over 3 years until now.Conclusions Rhinocerebral mucormycosis was the secondary onset severe diseases for patients with poor immunologic function , implicated in the orbit and brain , and the fatality rate was high .It could hold the development of the disease by clearing up the focus and wiping off the condition of fungi thrive together with medical management and adequacy nursing intervention .