静脉补钙渗漏后MgSO_4冷湿敷致局部皮肤坏死原因分析与护理

Analysis and Nursing of 6 Cases of Skin Partial Necrosis by Permeation of the Vein Importation Calcium Treated by MgSO_4 Wet and Cold Compress

对6例静脉补钙渗漏后使用硫酸镁(MgSO4)冷湿敷出现局部皮肤坏死患者局部皮肤坏死的原因进行分析,认为其中4例患者年龄>60岁,合并糖尿病,术后低体温致肢端冰冷是主要的诱发因素;同时使用硫酸镁冷湿敷会加重高渗性液体渗漏患者局部组织脱水:从而导致局部皮肤坏死。提出应明确钙剂渗漏危害,统一制定并实施处理流程;规范钙剂使用方法,注意浓度、速度和静脉选择;患者在静脉使用钙剂出现渗漏时慎用硫酸镁湿敷。

The paper analyzed reasons of skin partial necroisis by permeation of the vein importation calcium treated by MgSO4 Wet and Cold compress and argued that age over 60, combined diabetes and low temperature of extremities were main factors. In addition, cold and wet compress of magnesium sulfate could dehydrate the local tissue of body so as to cause skin necrosis. The authors put forward that it is necessary to clarify harms of calcium, standardize the usage of calcium, pay attention to intensity and speed of calcium as well as the choice of vein, be cautious to apply the cold and compress magnesium sulfate when vein importation calcium causing skin partial necrosis.