1例坏疽性脓皮病患儿行负压封闭引流的护理

doi:10.3761/j.issn.0254-1769.2022.10.013

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (10): 1238-1241.DOI: 10.3761/j.issn.0254-1769.2022.10.013

1例坏疽性脓皮病患儿行负压封闭引流的护理

魏晓琼(), 王君君, 周清, 杨童玲

400014 重庆市重庆医科大学附属儿童医院风湿免疫科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿科学重庆市重点实验室（魏晓琼,王君君）;国家儿童医学中心/复旦大学附属儿科医院肾脏和风湿科（周清）,新生儿科（杨童玲）

收稿日期:2021-08-19 出版日期:2022-05-20 发布日期:2022-05-26
通讯作者: 周清,E-mail：nat-1981@163.com
作者简介:魏晓琼：女,硕士,主管护师,E-mail： weixq_2006@126.com
基金资助:
上海市卫生和计划生育委员会科研课题(201940071)

Nursing care of a case of pyoderma gangrenosum with vacuum sealing drainage treatment

WEI Xiaoqiong(), WANG Junjun, ZHOU Qing, YANG Tongling

Received:2021-08-19 Online:2022-05-20 Published:2022-05-26

摘要/Abstract

摘要：

总结1例坏疽性脓皮病患儿行负压封闭引流的护理经验。护理要点：通过负压封闭引流,促进伤口愈合;在不同伤口愈合阶段,实施针对性的干预措施;适时进行疼痛干预,提高患儿舒适度;根据病情需要行营养支持,改善患儿营养状况;监测糖皮质激素、免疫抑制剂等特殊药物的不良反应,预防并发症;重视高热的护理,维持患儿生命体征平稳;加强心理护理和健康教育。患儿经22 d治疗后好转出院,在门诊随访,病情稳定,伤口愈合良好。

关键词: 坏疽性脓皮病, 负压伤口疗法, 伤口闭合技术, 儿科护理学

Abstract:

To summarize the nursing experience of a child with pyoderma gangrenosum（PG） treated with vacuum sealing drainage（VSD）. The main points of nursing include the use of VSD to promote skin wound repair;to carry out targeted intervention measures in different stages of wound healing;timely pain intervention to increase the comfort of children;nutritional support according to the needs of the disease;monitoring special drug adverse reactions;to pay attention to the nursing of high fever,to maintain the stability of basic vital signs of children;to strengthen psychological care and health education. After 22 days of treatment,the child was discharged successfully from the hospital. Follow-up in the wound clinic and specialist clinic showed that the primary disease was under stable control and the skin damage healed well.

Key words: Pyoderma Gangrenosum, Negative-Pressure Wound Therapy, Wound Closure Techniques, Pediatric Nursing

魏晓琼, 王君君, 周清, 杨童玲. 1例坏疽性脓皮病患儿行负压封闭引流的护理[J]. 中华护理杂志, 2022, 57(10): 1238-1241.

WEI Xiaoqiong, WANG Junjun, ZHOU Qing, YANG Tongling. Nursing care of a case of pyoderma gangrenosum with vacuum sealing drainage treatment[J]. Chinese Journal of Nursing, 2022, 57(10): 1238-1241.

参考文献 16

[1]	Goldust M, Hagstrom EL, Rathod D, et al. Diagnosis and novel clinical treatment strategies for pyoderma gangrenosum[J]. Expert Rev Clin Pharmacol, 2020, 13(2):157-161. DOI URL
[2]	Chatzinasiou F, Polymeros D, Panagiotou M, et al. Generalized pyoderma gangrenosum associated with ulcerative colitis:successful treatment with infliximab and azathioprine[J]. Acta Dermatovenerol Croat, 2016, 24(1):83-85.
[3]	吴超, 晋红中. 坏疽性脓皮病的临床特征[J]. 中华临床免疫和变态反应杂志, 2019, 13(3):209-213.
	Wu C, Jin HZ. Clinical features of pyoderma gangrenosum[J]. Chin J Allergy Clin Immunol, 2019, 13(3):209-213.
[4]	黄舒婷, 秦思, 温炬, 等. 溃疡型坏疽性脓皮病合并皮肤真菌感染一例[J]. 中华皮肤科杂志, 2020, 53(2):140-142.
	Huang ST, Qin S, Wen J, et al. A case of ulcerative pyoderma gangrenosum complicated by fungal infection of the skin[J]. Chin J Dermatol, 2020, 53(2):140-142.
[5]	Almeida IR, Coltro PS, Gon alves HOC, et al. The role of negative pressure wound therapy(NPWT) on the treatment of pyoderma gangrenosum:a systematic review and personal experience[J]. Wound Repair Regen, 2021, 29(3):486-494. DOI URL
[6]	Grado Sanz R, Conde-Montero E, Pérez Jerónimo L, et al. Clinically inactive pyoderma gangrenosum successfully treated with negative pressure therapy and punch grafting[J]. Int Wound J, 2020, 17(2):516-518. DOI URL
[7]	Bazaliński D, Karwiec A, Kucharzewski M, et al. Negative pressure wound therapy in pyoderma gangrenosum treatment[J]. Am J Case Rep, 2020, 21:e922581.
[8]	李香风, 张春燕. 风湿免疫科护士对结缔组织病相关皮肤溃疡知识掌握现状调查[J]. 中华临床免疫和变态反应杂志, 2021, 15(2):178-183.
	Li XF, Zhang CY. Knowledge of nurses in rheumatology department on connective tissue disease-associated skin ulcers[J]. Chin J Allergy Clin Immunol, 2021, 15(2):178-183.
[9]	黎鸿章, 肖昌明, 银西洋, 等. 负压封闭引流治疗深度烧伤创面及对炎性因子、致痛因子的影响[J]. 创伤外科杂志, 2019, 21(1):60-64.
	Li HZ, Xiao CM, Yin XY, et al. Vacuum sealing drainage for treatment of deep burn wound and its influence on inflammatory factors and pain-causing factors[J]. J Trauma Surg, 2019, 21(1):60-64.
[10]	仇铁英, 黄金. “TIME”原则在伤口床准备中的应用研究现状[J]. 中华护理杂志, 2013, 48(9):855-858.
	Qiu TY, Huang J. Research status of the application of “TIME” principle in wound bed preparation[J]. Chin J Nurs, 2013, 48(9):855-858.
[11]	Bowers S, Franco E. Chronic wounds:evaluation and management[J]. Am Fam Physician, 2020, 101(3):159-166.
[12]	徐元玲, 王建东, 蒋琪霞. 慢性伤口细菌生物膜形成机制及其影响的研究进展[J]. 中华护理杂志, 2014, 49(4):463-466.
	Xu YL, Wang JD, Jiang QX. The formation mechanism and its influence of the bacteria biofilm in chronic wounds:a review[J]. Chin J Nurs, 2014, 49(4):463-466.
[13]	Briggs M, Ferris FD, Glynn C, et al. Assessing pain at wound dressing-related procedures[J]. Nurs Times, 2004, 100(41):56-57.
[14]	Moffatt CJ, Franks PJ, Hollinworth H. An international perspe-ctive on wound pain and trauma[J]. Ostomy Wound Manage, 2003, 49(4):12-14.
[15]	罗双红, 舒敏, 温杨, 等. 中国0至5岁儿童病因不明急性发热诊断和处理若干问题循证指南(标准版)[J]. 中国循证儿科杂志, 2016, 11(2):81-96.
	Luo SH, Shu M, Wen Y, et al. Evidence-based guidelines for the diagnosis and management of acute fever of unknown eti-ology in Chinese children aged 0-5 years[J]. Chin J Evid- Based Pediatr, 2016, 11(2):81-96.
[16]	蒋琪霞, 胡素琴, 彭青, 等. 坏疽性脓皮病患者溃疡伤口的整体干预[J]. 中华护理杂志, 2009, 44(9):823-825.
	Jiang QX, Hu SQ, Peng Q, et al. Nursing care for a patient with leg ulcer complicated to pyoderma gangrenosum[J]. Chin J Nurs, 2009, 44(9):823-825.

1例坏疽性脓皮病患儿行负压封闭引流的护理

Nursing care of a case of pyoderma gangrenosum with vacuum sealing drainage treatment

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 16

相关文章 15

编辑推荐

Metrics

[1]	王龙君, 王丹, 徐海莉, 金歌, 方艳艳, 曾庆虎. 积木拼插游戏在学龄期PICC置管患儿上肢功能锻炼中的应用研究[J]. 中华护理杂志, 2024, 59(8): 947-952.
[2]	韦双双, 游雪梅, 杨莉洁, 李繁荣, 唐如冰. 临终患儿父母哀伤辅导的证据总结[J]. 中华护理杂志, 2024, 59(5): 540-546.
[3]	范晓睿, 顾莺, 胡静, 戚少丹, 贺琳晰, 张雯澜, 王林娟, 沈伟杰, 杨玉霞. 24所医院儿科ICU护士对患儿睡眠管理的认知及实践行为调查[J]. 中华护理杂志, 2024, 59(4): 447-454.
[4]	孙潇潇, 陈朔晖, 滕燕萍, 王华, 刘丹. NICU早产儿的父亲出院准备度现状及影响因素分析[J]. 中华护理杂志, 2024, 59(4): 455-460.
[5]	卢露, 卢芳燕, 吉莉, 陶玉侠, 姚彩萍. 6例小肠移植术后患儿肠造口的护理[J]. 中华护理杂志, 2024, 59(4): 461-464.
[6]	于万慧, 崔朝妹, 迟嘉婧, 靳子恒, 苟晓瑜, 李梦洁, 卢楠, 杨丽娟. 先天性心脏病青少年向成人过渡治疗及护理体验的Meta整合[J]. 中华护理杂志, 2024, 59(2): 219-227.
[7]	王康, 王俏, 李静. 虚拟现实技术在弱视患儿视觉训练中应用的范围综述[J]. 中华护理杂志, 2024, 59(16): 1948-1956.
[8]	陈娅娟, 周蕊, 孙丹, 刘新文. 住院患儿静脉血栓栓塞症风险预测模型的构建及验证[J]. 中华护理杂志, 2024, 59(16): 1966-1972.
[9]	易敏, 吴霞, 谭小艳, 钟丽娜, 杨琴, 陈艳萍, 刘花艳. 闭塞性细支气管炎患儿肺康复训练系统的研发与应用[J]. 中华护理杂志, 2024, 59(14): 1678-1686.
[10]	沈清清, 李荷君, 张学兵, 杨陈. 1例腹腔多器官烧伤合并肝撕裂伤患儿的急救与护理[J]. 中华护理杂志, 2024, 59(13): 1645-1649.
[11]	潘瑜, 潘向滢, 周斌, 金佳家. 1例体外膜肺氧合治疗并发严重下肢缺血患儿的围手术期护理[J]. 中华护理杂志, 2024, 59(13): 1639-1644.
[12]	卢芳燕, 戴燕红, 李志茹, 吉莉, 王燕, 王华芬. 肝移植术后患儿腹内高压的发生现状及危险因素分析[J]. 中华护理杂志, 2024, 59(12): 1484-1489.
[13]	杨柳, 李智慧, 孔燕, 于桂玲. 婴幼儿照顾者的口腔健康照护能力评估量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(10): 1218-1225.
[14]	周敏, 付勤, 王林娟, 郑泽瑞, 张矗昊, 郑晓真, 荆晶. 危重症患儿外周动脉导管置入与管理的最佳证据总结[J]. 中华护理杂志, 2024, 59(10): 1255-1262.
[15]	罗听薇, 张娜, 宋青青, 向玉琼, 蒋思珊, 张智强, 夏青青, 朱丽辉. 青少年慢性病患者药物素养的研究进展[J]. 中华护理杂志, 2023, 58(9): 1149-1153.