慢性阻塞性肺疾病急性加重期住院患者并发带状疱疹感染后创面的护理

Nursing of Hospitalized Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Complicated by Wound Infection after Herpes Zoster

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。

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.