To summarize the nursing experience of a patient with erythroderma after hepatectomy for traumatic hepatic rupture. In view of the patient's problems such as skin damage,severe swelling and fluid seepage,difficulty in venous catheter puncture and fixation,multi-drug-resistant bacteria combined with fungal infection,a multidisciplinary nursing collaboration team was quickly established to select appropriate intravenous catheters,do pipeline maintenance,prevent bacterial invasion of damaged wounds,take good skin care,and actively control infection. Scientific individualized nutrition management and lower extremity deep vein thrombosis treatment and nursing were implemented. We strengthened disease knowledge education and implemented cognitive reconstruction and negative emotion management strategies to improve patients' anxiety and depression. After 67 days of careful treatment and nursing,the patient's condition was improved and he was discharged. The patient was followed up for 3 months after discharge and recovered well.
LIN Weixi
,
XU Juehua
,
LIU Shuai
. Nursing care of a patient with erythroderma after traumatic liver rupture operation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023
, 4(5)
: 440
-443
.
DOI: 10.3761/j.issn.2096-7446.2023.05.011
[1] Xia WY,Gao L,Dai EH,et al.Liquid biopsy for non-invasive assessment of liver injury in hepatitis B patients[J]. World J Gastroenterol,2019,25(29):3985-3995.
[2] 李园园,施东雯,孙淑娟,等. 165例红皮病临床分析[J]. 皮肤性病诊疗学杂志,2020,27(3):160-163,167.
Li YY,Shi DW,Sun SJ,et al.Clinical analysis of 165 cases of erythroderma[J]. J Diagn Ther Derm Venereol,2020,27(3):160-163,167.
[3] Liu SD,Zhong LP,He J,et al.Targeting neuropilin-1 interactions is a promising anti-tumor strategy[J]. Chin Med J(Engl),2020,134(5):508-517.
[4] 陶琳,付岚,张晓霞. 国内外PICC置管和应用现状的研究进展[J]. 四川医学,2021,42(1):93-96.
Tao L,Fu L,Zhang XX.Research progress of PICC catheterization and application status at home and abroad[J]. Sichuan Med J,2021,42(1):93-96.
[5] 黄朵,李兵发. 薄型泡沫敷料在大面积表皮剥脱重症药疹病人中的应用效果[J]. 护理研究,2021,35(2):349-351.
Huang D,Li BF.Application effect of thin foam dressing in patients with severe drug eruption with large-area exfoliation[J]. Chin Nurs Res,2021,35(2):349-351.
[6] 何雪瑜,曾小芳. 1例利妥昔单抗治疗重症天疱疮患者并发皮下血肿的护理[J]. 中华护理杂志,2021,56(6):917-920.
He XY,Zeng XF.Nursing care of a severe pemphigus complicated patient with subcutaneous hematoma treated with Rituximab[J]. Chin J Nurs,2021,56(6):917-920.
[7] 池智利,孙丽琴,王慧晶,等. 莫匹罗星创面喷雾剂治疗1期压力性损伤的研究[J]. 循证护理,2022,8(4):562-564.
Chi ZL,Sun LQ,Wang HJ,et al.Study on the treatment of 1st phase of pressure injury with Mupirocin Ointment wound spray[J]. Chin Evid Based Nurs,2022,8(4):562-564.
[8] 陈素萍,谭丽萍,张娜. 1例脑出血术后伴严重剥脱性皮炎的护理[J]. 中华护理杂志,2016,51(6):759-762.
Chen SP,Tan LP,Zhang N.Nursing care of a patient with severe exfoliative dermatitis after cerebral hemorrhage surgery[J]. Chin J Nurs,2016,51(6):759-762.
[9] 王敏,汤佳媚,徐英. 肝切除术患者围手术期营养管理的最佳证据总结[J]. 中华现代护理杂志,2022,28(28):3895-3900.
Wang M,Tang JM,Xu Y.Best evidence summary of perioperative nutritional management in patients undergoing hepatectomy[J]. Chin J Mod Nurs,2022,28(28):3895-3900.
[10] 符伟国,史振宇. 重视普通外科围手术期静脉血栓栓塞症规范化防治[J]. 中国实用外科杂志,2020,40(5):503-507.
Fu WG,Shi ZY.Attaching importance to the normative prevention and treatment of venous thromboembolism during perioperative period of general surgery[J]. Chin J Pract Surg,2020,40(5):503-507.
[11] 曹晖,陈亚进,顾小萍,等. 中国加速康复外科临床实践指南(2021版)[J]. 中国实用外科杂志,2021,41(9):961-992.
Cao H,Chen YJ,Gu XP,et al.Clinical practice guidelines for enhanced recovery after surgery in China(2021 edition)[J]. Chin J Pract Surg,2021,41(9):961-992.
[12] 王旻静,王媛,徐雪华. 1例肝癌患者应用信迪利单抗致红皮病的护理[J]. 中国临床护理,2022,14(10):656-658.
Wang MJ,Wang Y,Xu XH.Nursing of a sindilizumab-induced erythroderma patient with liver occupying[J]. Chin Clin Nurs,2022,14(10):656-658.
[13] 徐永能,卢少萍,黄巧,等. 老年卧床患者出院后压力性损伤的预防及管理[J]. 中华护理杂志,2017,52(S1):40-44.
Xu YN,Lu SP,Huang Q,et al.Medical health integration continuance management mode in the prevention of elderly patients after discharge in bed household application effect analysis of pressure ulcers[J]. Chin J Nurs,2017,52(S1):40-44.
