20例气性坏疽地震伤员的护理
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摘要
总结了20例汶川地震气性坏疽伤员的护理体会,认为防治关键在于早期发现、早期诊断和治疗,护理重点为严格消毒隔离,加强伤情观察及伤口护理,早期发现并治疗并发症,加强营养和心理护理。本组截肢17例,死亡1例。6例发生并发症,包括多器官功能衰竭2例、心功能衰竭2例、肾功能衰竭1例、休克1例。5例发生应激性高血糖。均未发生院内交叉感染。
Nursing of 20 patients with gas gangrene in Wenchuan earthquake was summarized.The key of treatment was to find,diagnose and treat earlier.Strict disinfection and insulation,careful observation of patient's condition and wound care, early discovery and treatment of complication,and strengthening nutrition and mental health care were emphasized.Among the patients,17 patients received amputation,a patient died,6 patients had complication,including 2 with multiple organ failure,2 with heart failure,1 with renal failure,and 1 with shock.Stress-induced hyperglycemia occured on 5 patients.No hospital ac- quired infections happened.
Nursing of 20 patients with gas gangrene in Wenchuan earthquake was summarized.The key of treatment was to find,diagnose and treat earlier.Strict disinfection and insulation,careful observation of patient's condition and wound care, early discovery and treatment of complication,and strengthening nutrition and mental health care were emphasized.Among the patients,17 patients received amputation,a patient died,6 patients had complication,including 2 with multiple organ failure,2 with heart failure,1 with renal failure,and 1 with shock.Stress-induced hyperglycemia occured on 5 patients.No hospital ac- quired infections happened.
引文
[1]王莉香．骨折合并气性坏疽感染的救治及护理[J]．实用骨科杂志，2007，13(3)：191-192．
[2]李全岳，何富强．战伤气性坏疽7例死亡原因分析[J]．人民军医，2002，45 (8)：437．
[3]陈孝平．外科学[M]．北京：人民卫生出版社，2005：220-221．
[4]杨顺秋，李若惠，阴春红，等．亚热带战1952例战伤伤员气性坏疽的调查分析[J]．南方护理学报，2005，12(6)：6-7．
[5]陈庆永，王春友．早期伤口分泌物涂片检查对创伤性气性坏疽早期诊断的作用[J]．中华急诊医学杂志，2006，15(9)：781-783．
[6]蒲丹，乔普，张卫东，等67例疑似气性坏疽地震伤员院内交叉感染控制分析[J]．中国循证医学杂志，2008，8(8)：620-622．
[2]李全岳，何富强．战伤气性坏疽7例死亡原因分析[J]．人民军医，2002，45 (8)：437．
[3]陈孝平．外科学[M]．北京：人民卫生出版社，2005：220-221．
[4]杨顺秋，李若惠，阴春红，等．亚热带战1952例战伤伤员气性坏疽的调查分析[J]．南方护理学报，2005，12(6)：6-7．
[5]陈庆永，王春友．早期伤口分泌物涂片检查对创伤性气性坏疽早期诊断的作用[J]．中华急诊医学杂志，2006，15(9)：781-783．
[6]蒲丹，乔普，张卫东，等67例疑似气性坏疽地震伤员院内交叉感染控制分析[J]．中国循证医学杂志，2008，8(8)：620-622．
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