血浆置换联合激素、免疫抑制剂治疗血栓性血小板减少性紫癜13例的护理

Plasma exchange combined with steroid,immunosuppressive therapy for thrombotic thrombocytopenic purpura:Nursing summary of13cases

目的探讨血浆置换(PE)联合激素、免疫抑制剂治疗血栓性血小板减少性紫癜(TTP)的护理方法。方法对13例行血浆置换联合激素、免疫抑制剂治疗的TTP患者,给予心理护理,做好血浆置换、激素及免疫抑制剂应用的观察及护理,出院指导。结果本组13例患者中,3例因各种原因未坚持治疗自动出院,其余10例均缓解出院。结论及时有效的治疗,严密的病情观察,全面细致的护理,预防和减少并发症,是TTP患者康复的重要保证。

Objective To discuss nursing strategies of the plasma exchange （PE） combined steroid, immunosuppressive therapy for thrombotic thrombocytopenic purpura （TTP）. Methods Psychological interventions were given to 13 TTP patients of plasma exchange combined steroid, immune inhibitor therapy. Observation and nursing care were done in terms of plasma exchange, hormones and immunosuppressive agents. Following instructions were given when patients were discharged. Results Among 13 patients, 3 did not complete the treatment for various reasons. The rest 10 patients were discharged with relief. Conclusion Timely and effective treatment, close observation of patients＇ condition, comprehensive and careful nursing, and prevention and reduction of complications are important guarantees for rehabilitation of Patients with TTP.