一例中毒性表皮坏死松解症患者应用流体悬浮床治疗的护理体会

Nursing Experience of a Patient with Toxic Epidermal Necrolysis with Fluid Suspension Bed Treatment

泰州市人民医院2020年4月收治1例68岁颅脑外伤术后并发中毒性表皮松解症的女性患者,以流体悬浮床治疗为基础,结合创面湿性愈合理论,使用银愈生物凝胶、聚氨酯泡沫敷料、银离子抗菌敷料等处理创面,同时应用皮质醇激素及免疫球蛋白等,纠正多脏器损害、高血糖、低蛋白血症、电解质紊乱等并发症的综合治疗方法,护士针对性落实病情观察和护理,流体悬浮床治疗14d后创面全部愈合,患者治愈出院。

A 68-year-old female patient with toxic epidermolysis after craniocerebral trauma surgery was admit⁃ted by the author's unit in April 2020.Based on fluid suspension bed treatment,combined with the theory of wound healing,Yinyu Biogel,polyurethane foam dressings,and silver ion antibacterial dressings were used.Wounds were treated,and cortisol hormone and immunoglobulin at the same time were applied to correct multi⁃ple organ damage,hyperglycemia,hypoalbuminemia,electrolyte disorders and other complications.The nurses carried out disease observation and nursing.After 14 days of fluid suspension bed treatment,all wounds healed,and the patient was cured and discharged.