外伤性肝破裂术后并发红皮病患者的护理

Nursing care of a patient with erythroderma after traumatic liver rupture operation

总结1例外伤性肝破裂行肝切除术后并发红皮病患者的护理体会。针对该患者皮肤破损、肿胀渗液严重、静脉导管穿刺及固定困难、多重耐药菌合并真菌感染等问题,迅速组建护理多学科协作团队,选择合适的静脉导管,做好管道维护,预防破损创面细菌入侵;做好皮肤护理,积极控制感染;科学、个体化营养管理;下肢深静脉血栓治疗及护理;加强疾病知识宣教,实施认知重构和负性情绪管理策略,改善患者焦虑抑郁状态。经过67 d的精心治疗及护理,患者病情好转出院。出院后随访3个月,恢复良好。

To summarize the nursing experience of a patient with erythroderma after hepatectomy for traumatic hepatic rupture.In view of the patient's problems such as skin damage,severe swelling and fluid seepage,difficulty in venouscatheterpunctureandfixation,multi-drug-resistant bacteria combined with fungal infection,a multidisciplinary nursing collaboration team was quickly established to select appropriate intravenous catheters,do pipeline maintenance,prevent bacterial invasion of damaged wounds,take good skin care,and actively control infection.Scientific individualized nutrition management and lower extremity deep vein thrombosis treatment and nursing were implemented.We strengthened disease knowledge education and implemented cognitive reconstruction and negative emotion management strategies to improve patients'anxiety and depression.After 67 days of careful treatment and nursing,the patient's condition was improved and he was discharged.The patient was followed up for 3 months after discharge and recovered well.