海鱼刺伤感染创伤弧菌致脓毒症休克患者的急救护理  

Nursing of septic shock caused by vibrio vulnifificus infection in a patient with sea fish puncture

作　　者：戴巧艳[1] 郭雪梅[1] 彭明霞[1] 杨建涛[1] DAI Qiaoyan;GUO Xuemei;PENG Mingxia;YANG Jiantao

机构地区：[1]中山大学附属第一医院显微创伤手外科,广州市510000

出　　处：《中华急危重症护理杂志》2023年第9期812-815,共4页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例海鱼刺伤感染创伤弧菌致脓毒症休克患者的护理体会。针对该例患者受伤机制特殊、发病急、进展快、病情危重等问题,迅速进行创伤弧菌脓毒症的早期识别及观察,做好预见性抢救准备;做好精细液体复苏与管理,预防脓毒症休克,合理使用抗生素,防止全身及患肢感染加重;加强不同类型的创面护理,密切观察患肢血循环情况,促进创面愈合和肢体功能恢复;同时做好心理支持和营养护理。经过58 d的积极治疗与护理,患者康复出院。随访6个月,一般状况良好,右下肢功能恢复良好,能正常行走。To summarize the nursing of septic shock caused by vibrio vulnifificus infection in a patient with sea fish puncture.In view of the patient’s special mechanism of injury,acute onset,rapid progress of the disease,critical condition and etc.,key points of nursing included early recognition and observation of vibrio vulnificus sepsis and predicted preparation of emergency treatment,fine fluid resuscitation and management to prevent septic shock,reasonable use of antibiotics to prevent infection from worsening,enhanced care of different types of infected wounds and close observation of blood circulation of the affected limb to promote wound healing and the recovery of limb function,psychological support and nutritional nursing at the same time.After 58 days of active treatment and care,the patient recovered and was discharged from the hospital.The patient was followed up for 6 months,she was in good condition,the function of the right lower limb recovered and can walk normally.

关 键 词：创伤和损伤 创伤弧菌 休克 脓毒性 急症护理 

分 类 号：R473[医药卫生—护理学]