Nursing care of a severe pemphigus complicated patient with subcutaneous hematoma treated with Rituximab

doi:10.3761/j.issn.0254-1769.2021.06.020

Abstract

Abstract:

This article aims to summarize the nursing experiences of a severe pemphigus patient complicated with multiple subcutaneous hematomas treated with rituximab. The nursing points：to control skin infection and promote skin wound healing according to the principle of wound TIME management;to create opportunities to apply rituximab in time;to take care of the whole process of rituximab infusing to ensure safety;multidisciplinary consultation evaluates and analyzes reasons of huge subcutaneous hematoma forming,and comprehensive nursing promotes hematoma regression. After 33 days of hospitalization,the patient’s skin wound healed completely;the hematoma shrank;the patient got better and was discharged. After 30 days follow-up,subcutaneous hematoma vanished and pemphigus did not recur.

Key words: Pemphigus, Wound Care, Rituximab, Hematoma

摘要：

总结1例利妥昔单抗治疗重症天疱疮患者合并多处皮下血肿的护理经验。护理重点：运用伤口管理原则控制皮肤感染并促进皮肤伤口愈合,尽早输注利妥昔单抗;做好利妥昔单抗输注全过程护理防范,确保输注安全;多学科会诊评估、分析皮下巨大血肿原因,积极应对,实施综合护理促进血肿消退。患者住院33 d,皮肤伤口完全愈合,血肿缩小,好转出院。出院30 d随访,皮下血肿消退,天疱疮未复发。

关键词: 天疱疮, 伤口护理, 利妥昔单抗, 皮下血肿

HE Xueyu,ZENG Xiaofang. Nursing care of a severe pemphigus complicated patient with subcutaneous hematoma treated with Rituximab[J]. Chinese Journal of Nursing, 2021, 56(6): 917-920.

何雪瑜,曾小芳. 1例利妥昔单抗治疗重症天疱疮患者并发皮下血肿的护理[J]. 中华护理杂志, 2021, 56(6): 917-920.

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