Add wet the whole idea of therapeutic intervention in 1 case observed the effect of radiation wounds.docVIP
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Add wet the whole idea of therapeutic intervention in 1 case observed the effect of radiation wounds
[Abstract] 1 case of shoulder mucous gland sarcoma, caused by radiation at the tumor near the normal skin ulcer infection 15cm, moist wound healing therapy combined with the overall intervention, treatment effect is obvious.
[Keywords:] skin infections, radiation, moist healing
Clinical data
1 General information of patients, female, 58 years old. By the Ministry of mucus sarcoma 1 year left shoulder, 15cm away from the tumor after radiotherapy resulted in a normal skin tissue necrosis, infection, more than 40 days in hospital dressing healed foreign economy and the traditional method, the wound area had over the previous expansion, pain increased in November 17, 2007 to wound care center for treatment. checkup reflected in its left shoulder and 15cm away from the tumor at the bottom of the back of a 12cm 12cm wound, black 100% leather samples were hard, dirty gray pus scab liquid, odor, skin irritation around the wound. blood test showed: WBC 4 109 / L, Hb 100g / L.
2 nursing problems (1 chronic wounds, large area, a serious infection, treatment difficulties, (2 wound infections on the skin to stimulate inflammatory mediators, radiotherapy-induced tissue fibrosis, blood supply barriers, local tissue ischemia and hypoxia, acidic metabolites stimulation, venous disorders around the wound tissue, causing swelling (3 patients with anxiety, depression, poor appetite, poor nutrition, wound pain, long-term continuous physical and psychological stress, low immunity to [1], affecting wound healing [ 2], (4 wound odor, prolonged unhealed, leading to anxiety, depression, (5 wound area, increased energy expenditure in patients with the body, loss of appetite, intake of a negative balance.
3 nursing goals (1 debridement, (2, infection control, (3 reduce pain, (4 to promote healing.
4 intervention strategies to cut the overall l
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