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1、金黄色葡萄球菌烫伤样皮肤综合症护理体会徐小蓉(成都市第五人民医院儿科四川成都611130)作者简介:徐小蓉(19717-),籍贯:四川温江,工作单位:成都市第五人民医院儿科,主管护师,木科学。【摘要】目的:总结金黄色葡萄球菌烫伤样皮肤的综合护理方法,以期为提高该病的护理水平提供参考。方法:选取我院自2007年5月至2012年5月之间所收治的10例金黄色葡萄球菌烫伤样皮肤综合症患儿作为研究对象,应早期、足量、有效的应用抗生素抗炎,维持水电解质平衡和应用丙种球蛋白增加机体免疫力等对症治疗,以清除存在体内金葡菌感染灶,防止细菌继发产牛,好预防继发感染,缩短病程。同时,采取相应的护理措施。
2、结果:患儿入院经治疗后,第二天精神太及进食情况均明显改善,出现了375°C左右的低体温。患儿皮肤脓疱疹明显改善,渗出较较治疗前明显改善,除2例患儿结痂延迟外,其他患儿均结痂良好。第3d患儿的体温回复正常,无渗出液,皮肤红斑变淡,皮肤无瘙痒感,眼睛无分泌物,眼周皱褶减轻明显。5d后患儿临床症状均改善,脓疱疹彻底清除,均结痂,结痂后部分脱落,第8d出院。结论:通过对SSSS综合症患儿护理,有效病情观察和细致周到护理,可以促进患儿创面早日愈合,有效减少并发症,降低死亡率。【关键词】金黄色葡萄球菌烫伤样皮肤综合症;护理;分析Nursingexperienceinsamplestaphylo
3、coccusaureusscaldedskinsyndromeXiuXiaorong(TheFifthPeople'sHospitalofChengdu,Sichuan,Chengdu,611130)[Abstract】Objective:"summarizecomprehensivesamplestaphylococcusaureusscaldedskincaremethods,inordertoprovidereferencestoimprovethenursinglevelofthedisease.Methods:ourhospitalfromMay2007toMay2012
4、,10casesweretreatedbybetweensamplestaphylococcusaureusscaldedskinsyndromeastheresearchobject,shouldbeearly,adequateandeffectiveapplicationofantibioticsanti-inflammatory,maintainingwaterandelectrolytebalaneeandincreaseimmunityandothersymptomatictreatmentapplicationofgammaglobulin,existinclears.
5、aureusbacteriainfectioninthebody,preventbacterialsecondary,topreventsecondaryinfection,shortenthecourseofthedisease.Atthesametime,thecorrespondingnursingmeasures.Results:Hospitalthenextday,thechildrenwithmental,eatinggood’occasionallylowtemperature375°Corso,skinrashandpustulesseepagedecreaseds
6、ignificantlyearlier,mostofthecallusjupusdarkskin,mildlyitchy.Temperaturereturnedtonormal‘3dayspustularrashskinabsorption,noleakage’skinerythemabecomesshallow,noitching’eyesecretiondisappeared,eyeweekradialwrinkiesreduceobviously.5dayswithgenerallygood,skinrashdisappeared,pustulesscabover,allsm
7、allscabbyfalloff.8days,curedischargedfromhospital.Conelusion:ThroughtheSSSSsyndromenursing^bservationandconsideratecare,canpromotechildrenwoundhealingassoonaspossible,reducecomplicationsandreducemortality.【Keywords]samplestaphylococcusa