中毒性表皮坏死松解型药疹患者的重症护理分析

目的分析中毒性表皮坏死松解型药疹的重症护理.方法回顾性分析18例中毒性表皮坏死松解型药疹患者的护理资料.对患者进行区域化管理,采用系统化、专职护理,护理措施主要包括皮损护理、五官护理、会阴部及肛周护理、心理干预、营养支持、病情观察等.结果18例患者在护理人员精心护理下均度过危险期,病情稳定后转科或转院,所有患者均痊愈.结论中毒性表皮坏死松解型药疹患者起病急、预后差,对此类患者应纳入危重症管理,采取系统化、针对性重症护理策略,并加强观察、预防并发症的发生,可以改善预后,促进患者康复.

Objective To summarize the severe nursing experience of toxic epidermal necrolysis.Methods A retrospective analysis of 18 patients with toxic epidermal necrolysis,regionalized management of the patients,and systematic and full-time care were taken.Nursing management included skin lesion nursing,five sense nursing,perineal and perianal nursing,psychological intervention,nutritional support,and disease observation,then summarized the nursing experience.Results The 18 patients passed the dangerous period under the careful care of the nursing staff.After the condition was stable,they were transferred to the department or hospital.All patients recovered.Conclusion Patients with toxic epidermal necrolysis have a rapid onset and poor prognosis.Such patients should be concentrated in the management of severe cases,and systematic and targeted severe care strategies should be actively adopted.Strengthen observation and prevent complications,which can improve the prognosis of patients and promote the rehabilitation of patients.