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1例肾淀粉样变性合并重症红皮病患者的护理

Nursing care of a patient with renal amyloidosis complicated with severe erythroderma
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摘要 总结1例肾淀粉样变性合并重症红皮病患者的护理经验。护理要点:成立专属护理团队,实施精细化护理管理;减轻双下肢水肿、渗出,促进肾功能恢复;加强皮肤护理,减轻皮肤黏膜局部症状;联合应用伤口护理技术,预防双下肢感染加重;采用多种减压措施,降低压力性损伤风险;落实分段营养支持方案,改善营养状况;开展特色延续性护理,提高患者疾病管理能力。经过29 d的精心治疗和护理,患者肾功能恢复正常,重症红皮病症状明显好转出院,随访1.5个月,患者病情稳定。 To summarize the nursing experience of a patient with renal amyloidosis complicated with severe erythroderma.Nursing points:to set up an exclusive nursing team to implement fine nursing management;to reduce edema exudation,promote renal function recovery;to focus on skin care,reduce local symptoms of skin mucosa;the combined application of wound nursing techniques to prevent infection aggravation;to use a variety of stress relief measures to reduce the risk of pressure sores;to strengthen nutritional support treatment to improve nutritional status;to carry out characteristic continuous nursing to improve patients’ability of disease management.After 29 days of careful treatment and nursing,the renal function of the patient returned to normal;the symptoms of severe erythroderma improved significantly;the patient’s condition was stable after 1.5 months of follow-up.
作者 任红梅 曾鹂 黄静 REN Hongmei;ZENG Li;HUANG Jing
出处 《中华护理杂志》 CSCD 北大核心 2024年第6期723-726,共4页 Chinese Journal of Nursing
关键词 肾淀粉样变性 红皮病 水肿 感染 护理 Renal Amyloidosis Erythroderma Edema Infection Nursing Care
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