高压氧治疗批量气性坏疽患者的消毒隔离管理
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摘要
目的探讨和总结高压氧治疗批量气性坏疽患者的消毒隔离管理。方法对我院收治的因"5.12"汶川地震灾害所导致的20例气性坏疽患者中的12例,经外科综合治疗后在高压氧治疗期间,做好心理护理及基础护理的基础上,做好高压氧舱的消毒隔离管理工作。结果12例气性坏疽患者在高压氧治疗后1周除1例伤口分泌物涂片查见革兰氏阳性杆菌,有荚膜外,其余11例均未查见细菌。经过继续对症、支持、高压氧综合治疗后,三次进行分泌物涂片,结果均为阴性以后,相继转入普通病房治疗。12例综合高压氧治疗的气性坏疽患者,当治疗完毕后,进行了3次空气及物表(取不同位置)24小时培养,3次均为阴性,再次启用氧舱,供其他患者治疗,无一例发生医院感染。结论对地震灾害后发生的批量气性坏疽患者在高压氧治疗期间,护士做好消毒隔离管理,杜绝院内交叉感染,使患者积极配合治疗,提高治疗效果,起到了积极的作用。通过对批量气性坏疽患者在高压氧治疗期间消毒隔离的管理,为以后遇有突发事件引起的气性坏疽患者综合高压氧治疗的护理管理奠定了基础。
Objective Study the management of disinfection and isolation of patients with gas gangrene which treated by Hyperbaric oxygen therapy.Methods 12 of 20 cases of patients with gas gangrene was treated by Hyperbaric oxygen therapy after the surgical treatment.on the basis of physical and psychological cares,managing the disinfection and isolation of Hyperbaric oxygen chamber.Results only 1 case of wound secretion smear check see Gram-positive bacteria after 1 week,the other 11 cases show no bacteria.After the therapy of patients with gas gangrene,the chamber was checked 3 times by the air and physical form(take a different position) 24-hour culture and all showed negative.the opening of the chamber again,for the treatment of other patients,No case of infection was reported in the later therapies.Conclusion patients with gas gangrene when received hyperbaric oxygen therapy,nurses should manage the disinfection and isolation well.
Objective Study the management of disinfection and isolation of patients with gas gangrene which treated by Hyperbaric oxygen therapy.Methods 12 of 20 cases of patients with gas gangrene was treated by Hyperbaric oxygen therapy after the surgical treatment.on the basis of physical and psychological cares,managing the disinfection and isolation of Hyperbaric oxygen chamber.Results only 1 case of wound secretion smear check see Gram-positive bacteria after 1 week,the other 11 cases show no bacteria.After the therapy of patients with gas gangrene,the chamber was checked 3 times by the air and physical form(take a different position) 24-hour culture and all showed negative.the opening of the chamber again,for the treatment of other patients,No case of infection was reported in the later therapies.Conclusion patients with gas gangrene when received hyperbaric oxygen therapy,nurses should manage the disinfection and isolation well.
引文
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[6]王香莉.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]王强,刘垒.高压氧医学教程[M].北京:军事医学科学出版社,2006:188.
[3]王香莉.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.
[4]刘晖,杨启菁.高压氧综合治疗气性坏疽60例[J].中华医院感染杂志,2006,16(10):1127-1128.
[5]静宜,万秋.高压氧舱通风并紫外线消毒效果观察[J].中华医院感染学杂志,2008,18(1):70.
[6]王香莉.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.
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