一例席汉综合征合并巨大4期压力性损伤患者的护理

Nursing care of a case of Sheehan syndrome with huge four stages of stress injury

目的总结1例席汉综合征伴巨大4期压力性损伤患者的护理。方法针对1例席汉综合征伴巨大4期压疮的患者，在局部创面上，根据创面评估情况动态调整换药方案，并将PDCA和湿性愈合理论贯穿始终。同时严密观察病情变化、监督用药效果、实施专科导管护理、给予营养支持、减压治疗及心理干预等整体护理措施，并在出院后给予延伸护理和专项指导。结果患者转入后115d出院、366d创面痊愈。结论通过对此例席汉综合征伴巨大4期压力性损伤患者的护理和治疗，巩固了护理人员的基础知识、提高了护理操作技能、增长了护理换药技术，为临床护理工作提供理论依据和实践经验。

Objective To summarize the nursing care of one case of Sheehan syndrome with huge four stages of stress injury. Methods For 1 case Sheehan syndrome with huge four stages pressure ulcers, on local wound, dynamically adjust the treatment plan according to the wound assessment situation, and by applying the theory of PDCA and wet healing throughout. At the same time, observation patient＇s condition carefully and supervision of drug effect, the implementation of specialized subject catheter nursing, nutritional support, overall nursing measures, such as vacuum treatment and psychological intervention and after discharge to special care and guidance were performed. Results The patient was discharged from the hospital 115 d and healed 336 d. Conclusions The nursing and treatment for the patient with Sheehan syndrome with huge four stages of stress injury can consolidate the basic knowledge of nursing staff, improve nursing skills, increase nursing dressing technology, provide a theoretical basis and practical experience for clinical nursing work.