Nursing care of a patient with severe toxic epidermal necrolysis complicated by acute respiratory distress syndrome

doi:10.3761/j.issn.0254-1769.2023.13.015

Abstract

Abstract:

The nursing care of a patient with severe toxic epidermal necrolysis complicated by acute respiratory distress syndrome was summarized. Key points of care：personalized sedation and analgesia，management of prone ventilation，extracorporeal membrane oxygenation combined with continuous renal replacement therapy，protection of damaged mucosa，refined skin management，prevention and control of infection，etc. The patient was transferred out of the department after 10 days，and after 5 months of regular follow-up，the patient recovered well.

Key words: Toxic Epidermal Necrolysis, Extracorporeal Membrane Oxygenation, Continuous Renal Replacement Therapy, Acute Respiratory Distress Syndrome, Nursing Care

摘要：

总结1例中毒性表皮坏死松解症患者合并急性呼吸窘迫综合征的护理。护理要点：个性化镇静镇痛、俯卧位通气的管理、体外膜肺氧合联合连续性肾脏替代治疗的护理、精细化的皮肤管理、预防及控制感染等。患者25 d后转出ICU，住院31 d后康复出院。经过5个月的定期随访，患者康复良好。

关键词: 中毒性表皮坏死松解症, 体外膜肺氧合, 连续性肾脏替代疗法, 急性呼吸窘迫综合征, 护理

ZHAO Ling, LIU Ying, JIANG Qi, CAI Li. Nursing care of a patient with severe toxic epidermal necrolysis complicated by acute respiratory distress syndrome[J]. Chinese Journal of Nursing, 2023, 58(13): 1629-1634.

赵玲, 刘英, 姜琦, 蔡丽. 1例中毒性表皮坏死松解症患者合并急性呼吸窘迫综合征的护理[J]. 中华护理杂志, 2023, 58(13): 1629-1634.

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