多发伤患者术后合并骶尾部巨大压疮及多处创面的护理  

Wound care of a patient with multiple injuries complicated by sacrococcygeal huge bedsore

作　　者：黄苗[1] 谭惠仪[1] 陈丽映[2] 李海燕[3] 黄爱好[2] 潘丽沁[2] 叶洁玉[4] 

机构地区：[1]广州市红十字会医院护理部,510220 [2]广州市红十字会医院烧伤科,510220 [3]广州市红十字会医院神经内科,510220 [4]广州市红十字会医院骨科,510220

出　　处：《中华护理杂志》2013年第4期304-305,共2页Chinese Journal of Nursing

摘　　要：总结了1例多发伤患者术后合并骶尾部巨大压疮及多处创面的护理经验。护理重点包括:术前积极清除创面坏死组织,术后采取负压引流术及维持正确体位保护植皮区,密切观察创面外包敷料渗血渗液情况,做好发热护理及加强营养支持等。患者顺利出院,创面全部愈合,随访3个月,患者能扶拐行走,生活自理。This paper summarizes the nursing care of a multiple injuries patient after operation complicated by sacrococcygeal huge bedsore and multiple wounds. The measures included clearing the necrotic tissues before skin grafting, protecting the skin-grafting area by vacuum sealing drainage and maintaining correct position after operation,close observation of the errhysis and exudate of wound dressing care,for fever,nutritional support and so on. The patient was discharged from hospital with all the wounds healed. Three months later,the patient could walk by crutch and restore the independent activities of daily living.

关 键 词：骶尾部 压力性溃疡 创伤和损伤 护理 

分 类 号：R473.6[医药卫生—护理学]