23 cases of toxic epidermal necrolysis syndrome nursing lax.docVIP

 PAGE \* MERGEFORMAT 7 23 cases of toxic epidermal necrolysis syndrome nursing lax [Keywords:] of the lax toxic epidermal necrolysis disease, care Toxic epidermal necrosis of large areas of loose skin disease mainly as inflammation, redness, blisters, necrosis and exfoliation followed by a loose group of syndrome, the main cause of drug sensitization, infection, heredity. The disease occurs mainly in adults , children have a lot of disease. its rapid onset, rapid development in a critical condition, skin lesions and an area of #8203;#8203;up to 50% or more, can affect the mouth, eyes, genital, respiratory, gastrointestinal mucosa, some cases may be associated with a single dirty device or organ damage, the most common kidney, severe systemic symptoms, may have high fever, rash Zhan, convulsions, coma, and sore throat, vomiting, diarrhea [1]. our department treated 23 patients of this type, by careful and meticulous care, to obtain good care results, now nursing are described below. 1 Clinical data July 2005 to December 2007 were treated in our department with toxic epidermal necrosis in 23 cases of lax disease, including 8 females, male 12 cases, 3 cases of young children, aged 3 to 64 years, both drugs cause systemic allergic skin large and small blisters, ulceration, peeling with pain and fever. 2 Care 2.1 detailed assessment of patient, meticulous care to develop detailed plans to prevent infection and complications. These patients acute illness, severe wound, and easy to infection. Under the circumstances the patient placed in a single room, restricted access, staff contact with patients When disinfection and isolation do to prevent cross-infection to keep the indoor temperature at 20 ℃, air humidity should not be too dry, ventilation day 1 or 2 times, especially in the nursing operation and to keep warm when dressing. room kept clean daily UV radiation less than 2 hours. beds, tables, chairs and floors with disinfectant wipe 1 per day.