一例失禁性皮炎合并骶尾部压疮患者的护理

Nursing care of one case of incontinent dermatitis complicated with sacrococcygeal pressure ulcer

笔者单位2017年11月收治1例67岁失禁性皮炎合并骶尾部压疮的女性患者,采用管理渗液、预防感染、运用湿性愈合理念使用新型敷料处理创面等方法,促进压疮创面愈合;同时合理利用造口袋联合一次性负压引流装置处理大便失禁,避免大便污染创面加重压疮;采用造口护肤粉及伤口保护膜治疗失禁性皮炎。经过14 d治疗,患者压疮创面缩小,失禁性皮炎痊愈。

A 67-year-old female patient with incontinent dermatitis complicated with sacrococcygeal pressure ulcer was admitted to our unit in November 2017. The wound was treated with a new dressing based on the concept of wet healing, management of exudation, prevention of infection to promote wound healing. Meanwhile, the fecal incontinence was properly treated with colostomy bag combined with disposable negative pressure drainage device to avoid fecal contamination and aggravation of pressure ulcer. Incontinent dermatitis was treated with wound protective powder and wound protective film. After 14 days of treatment, the wound of pressure ulcer was reduced and the incontinent dermatitis was cured.