贝复剂治疗多巴胺外渗致组织坏死1例的护理对策

The Nursing Strategy on Bfgf-Torita in the treatment of Dopamine Exosmosis Induced tissue Necrosis

目的探讨大剂量盐酸多巴胺静脉持续滴入外渗引起皮肤坏死的护理。方法对盐酸多巴胺外渗的皮肤针眼封闭,50%硫酸镁湿敷,大水疱抽液,无痛碘消毒,予生理盐水清洁创面,再用贝复剂外喷湿敷,每天两次。结果 14d后创面愈合。结论采用封闭针眼,50%硫酸镁湿敷,消毒,贝复剂湿敷等方法在护理盐酸多巴胺外渗致皮肤坏死中取得良好效果。

Objective To discuss the nursing of skin necrosis induced by the exosmosis during continuous intravenous perfusion of large doses of dopamine hydrochloride.Methods Needle eyes were closed on the dopamine hydrochloride-exosmosed skin,and the skin was wet-dressed with 50% magnesium sulfate.Fluids were drained from great blisters with indolent iodine disinfection. Wounds were cleaned with normal saline before being sprayed and wet-dressed with Bfgf-Torita,twice a day.Results Wounds healed after two weeks.Conclusion Good results of nursing of dopamine hydrochloride-exosmosed skin have been achieved by closing needle eyes,wet- dressing with 50% magnesium sulfate,disinfecting and wet-dressing with Bfgf-Torita.