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截瘫并肾功能不全患者重度压疮的治疗及护理
引用本文:吴丽君,薛春华,李英蓉,彭洁丽.截瘫并肾功能不全患者重度压疮的治疗及护理[J].海南医学院学报,2009,15(7):811-812.
作者姓名:吴丽君  薛春华  李英蓉  彭洁丽
作者单位:海南省第三人民医院,海南,三亚,572000
基金项目:海南医学院科研基金资助学报项目 
摘    要:目的:探讨截瘫并肾功能不全患者重度压疮的治疗及护理方法。方法:对截瘫并肾功能不全重度压疮患者进行抗感染、营养支持、膀胱造瘘、护肾、血液透析、对症支持等治疗,并进行常规护理和血液透析,剪去压疮坏死组织,清洗消毒创面后,按白糖:复方新诺明(粉末)=5:1的比例配制混合均匀后导入基底创面内,并包裹固定,根据创面敷料渗液情况换药。结果:治疗1周后见压疮鲜红肉芽生长,65d压疮愈合。结论:复方新诺明配伍白糖治疗截瘫并肾功能不全重度压疮患者,具有消炎、高渗及营养的协同作用,可促进新鲜肉芽生长和创面的愈合速度,同时给予相应的护理,创面愈合较好。

关 键 词:截瘫  肾功能不全  压疮  治疗  护理

Treatment and nursing for paraplegia and renal insufficiency patients with severe pressure sore
WU Li-jun,XUE Chun-hua,LI Ying-rong,PENG Jie-li.Treatment and nursing for paraplegia and renal insufficiency patients with severe pressure sore[J].Journal of Hainan Medical College,2009,15(7):811-812.
Authors:WU Li-jun  XUE Chun-hua  LI Ying-rong  PENG Jie-li
Institution:(The Third People's Hospital of Hainan Province Sanya 572000, China)
Abstract:Objective:To investigate treatment and nursing for paraplegia and renal insufficiency patients with severe pressure sore.Methods:Except for routine nursing and hemodialysis,anti-infection,nutrition support,bladder stoma,kidney restoration,hemodialysis,and symptomatic treatment support were employed to patients.After cutting necrotic tissue,cleansing and disinfection of the wound,applied mixture of sugar and cotrimoxazole at the ratio of 5∶1 on the basement of wound,and made a wrapped fixation.Changed dressing according to the situation of wound.Results:1 week later after the treatment,scarlet granulation occurred,and 65d later the pressure sores were healed.Conclusion:With anti-inflammation,hypertonic and nutritional synergy,the combined treatment with sugar and cotrimoxazole can promote the growth of new granulation and wound healing rate,and it works more effective with the corresponding nursing.
Keywords:Paraplegia  Renal insufficiency  Pressure sores  Treatment  Nursing
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