ISSN 2096-7446　CN 10-1655/R
主管：中国科协技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (3): 244-247.doi: 10.3761/j.issn.2096-7446.2024.03.010

• 重症护理研究 • 上一篇    下一篇

Stanford A型主动脉夹层患者术后皮肤衰竭及黏膜损伤的全程管理

王霏斐 翁峰霞 桑明 蒋春艳 马青娜 卫建华   

  • 出版日期:2024-03-10 发布日期:2024-03-26

Overall management of skin failure and mucosal injury after Stanford type A aortic dissection surgery

WANG Feifei，WENG Fengxia，SANG Ming，JIANG Chunyan，MA Qingna，WEI Jianhua   

  • Online:2024-03-10 Published:2024-03-26

摘要： 总结1例Stanford A型主动脉夹层患者术后皮肤衰竭及黏膜损伤的护理体会。 针对Stanford A型主动脉夹层患者术后出现急性皮肤衰竭尧胃肠黏膜弥漫性损伤及口鼻黏膜器械相关压力性损伤等问题，在全程护理过程中及时识别并积极处理相关危险因素，实施阶段性翻身策略，优化皮肤护理方案，提供个体化营养供给及失禁相关性皮炎管理，关注口鼻腔黏膜避免器械相关压力性损伤。 经ICU住院治疗53 d，全身皮肤黏膜状况好转，术后第70天康复出院。

关键词: 动脉瘤, 夹层, 危重病护理, 急性皮肤衰竭, 重症监护

Abstract: This study summarized nursing experience of a patient with Stanford type A aortic dissection，who suffered from skin failure and mucosal injury after surgery. The patients had acute skin failure，diffuse gastrointestinal mucosal injury，and oral and nasal mucosa instrument-related pressure injury. Throughout the nursing process，we identified and addressed relevant risk factors in a timely manner，and implemented a phased turnover strategy to optimize the skin care program.，offered customized nutritional plans and specialized care for managing incontinence- related dermatitis，prioritized the protection of the oral and nasal mucosa to prevent device-related pressure injuries. Following 53 days of treatment in ICU，the patient had significant improvement in the condition of skin and mucosa，and was discharged from the hospital on the 70th day post-surgery.

Key words: Aneurysm, Dissecting, Critical Care Nursing, Acute Skin Failure, Intensive Care