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中西医结合护理 ›› 2022, Vol. 8 ›› Issue (10): 30-33.DOI: 10.55111/j.issn2709-1961.202207007

• 中西医结合康复护理专栏 • 上一篇    下一篇

去甲肾上腺素外渗所致皮肤组织损伤1例的换药护理体会

林艺娟, 王小霞   

  1. 福建省厦门市中医院 心内科, 福建 厦门, 361009
  • 出版日期:2022-10-31 发布日期:2022-11-16
  • 通讯作者: 王小霞, E-mail: 17897177@qq.com
  • 作者简介:林艺娟,副主任护师,厦门市中医院心内科护士长,致力于心血管重症护理、中西医心脏康复、心衰患者的康复护理等,主要研究火龙罐等中医护理适宜技术在心血管科中的运用,主持市级课题1项。

Experience of dressing changes and wound care for a patient with skin tissue necrosis caused by extravasation of norepinephrine

LIN Yijuan, WANG Xiaoxia   

  1. Department of Cardiology, Xiamen Central Hospital, Xiamen, Fujian, 361009
  • Online:2022-10-31 Published:2022-11-16

摘要: 本文总结1例去甲肾上腺素外渗引起右下肢大面积皮肤组织损伤患者的换药护理体会。经全身评估及多学科会诊,根据伤口管理的TIME原则以及中医外治理论实施有效的换药处理,同时加强基础护理、营养支持和心理护理。

关键词: 去甲肾上腺素, 药物外渗, 组织坏死, 中医特色疗法, 伤口护理, 中医外治

Abstract: This paper summarized the experience of dressing changes and wound care for a patient with skin tissue necrosis caused by extravasation of norepinephrine. After assessment of patient’s general conditions and multidisciplinary team consultation, the effective dressing changes and wound care plan using the Tissue, Infection, Moisture, Edge (TIME) framework and Traditional Chinese Medicine external treatment was carried out. Considerable efforts were also made to enhance the basic nursing, nutrition support and psychological care during the hospitalization. 

Key words: norepinephrine, drug extravasation, tissue necrosis, Traditional Chinese Medicine characteristic therapy, wound care, Traditional Chinese Medicine external treatment

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