一例视神经脊髓炎谱系疾病合并压疮患者的护理

Nursing care of one patient with neuromyelitis optica spectrum disorders complicated with pressure ulcers

2019年2月11日,浙江大学医学院附属第二医院收治1例37岁的视神经脊髓炎谱系疾病女性患者,其因多处压疮创面感染金黄色葡萄球菌引起急性骨髓炎。对其进行多学科协作诊疗,护士重点做好激素减量治疗期间视神经脊髓炎谱系疾病症候群的严密观察,警惕病情反跳;根据诊疗方案,分阶段落实创面护理,保持有效引流,确保负压合适,加强营养以促进创面愈合。经过积极治疗和精心护理,患者于入院后第39天康复出院。

On February 11,2019,a 37-year-old female patient with neuromyelitis optica spectrum disorders was admitted to the Second Affiliated Hospital of Zhejiang University School of Medicine,and her acute osteomyelitis was caused by infection of multiple pressure ulcer wounds with Staphylococcus aureus.The patient was diagnosed and treated with multidisciplinary cooperation.The nurses focused on the strict observation of the syndrome of neuromyelitis optica spectrum disorders during hormone reduction therapy,guarded against the rebound of condition,implemented wound care in stages according to the diagnosis and treatment plan,maintained effective drainage,ensured appropriate negative pressure,and strengthened nutrition to promote wound healing.After active treatment and careful nursing care,the patient recovered and was discharged on the 39th day after admission.