Abstract:

To summarize the nursing experience of a patient with renal amyloidosis complicated with severe erythroderma. Nursing points：to set up an exclusive nursing team to implement fine nursing management；to reduce edema exudation，promote renal function recovery；to focus on skin care，reduce local symptoms of skin mucosa；the combined application of wound nursing techniques to prevent infection aggravation；to use a variety of stress relief measures to reduce the risk of pressure sores；to strengthen nutritional support treatment to improve nutritional status；to carry out characteristic continuous nursing to improve patients’ ability of disease management. After 29 days of careful treatment and nursing，the renal function of the patient returned to normal；the symptoms of severe erythroderma improved significantly；the patient’s condition was stable after 1.5 months of follow-up.

Key words: Renal Amyloidosis, Erythroderma, Edema, Infection, Nursing Care

摘要：

总结1例肾淀粉样变性合并重症红皮病患者的护理经验。护理要点：成立专属护理团队，实施精细化护理管理；减轻双下肢水肿、渗出，促进肾功能恢复；加强皮肤护理，减轻皮肤黏膜局部症状；联合应用伤口护理技术，预防双下肢感染加重；采用多种减压措施，降低压力性损伤风险；落实分段营养支持方案，改善营养状况；开展特色延续性护理，提高患者疾病管理能力。经过29 d的精心治疗和护理，患者肾功能恢复正常，重症红皮病症状明显好转出院，随访1.5个月，患者病情稳定。

关键词: 肾淀粉样变性, 红皮病, 水肿, 感染, 护理