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

doi:10.3761/j.issn.0254-1769.2022.10.013

Abstract

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

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

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.

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.

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