Children 1 case of penile gangrene Fu Nursing Fournier.docVIP

 PAGE \* MERGEFORMAT 5 Children 1 case of penile gangrene Fu Nursing Fournier Of: the soldiers, Di Yukun, Mei-ling, Wang Nan Yue [Abstract] reported one case of Fournier gangrene children penis rich patient care process. Protect the patient’s skin, to prevent the drainage of the infected, to enhance air purification to ensure complete healing of ulcer patients without complications. [Keywords:] the penis, gangrene, nursing December 15, 2008, 1 case in our hospital 14-year-old children, swelling of the penis and scrotum, the skin hardens, the surface of black, clear boundaries, initially diagnosed as gangrene income homes. Pathologic diagnosis of Candida gangrene. After a medical After careful treatment and nursing care, complete healing without complications, was discharged. 1 Clinical data Patients, male, 14 years old, penis and scrotum pain, swelling, local ulcer, high fever of 39 or more, anti-inflammatory treatment fails, and appeared together with the surrounding skin hard, pale black, local ulceration. Incision the day after admission Qing Chong drainage surgery and sent to pathology. anti-inflammatory, anti-viral treatment with gentamicin plus 32 million units of necrosis of tissues of normal saline daily Shifu, treatment results are poor, three days after the pathology report Candida albicans gangrene accompanied by a small amount of Xixiao bacteria, bacterial infections. Subsequently, using the itraconazole and the celebration after the big wash applied fluconazole ulcers, 2 days after the effect is obvious, the body temperature returned to normal. After a careful treatment of medical and nursing staff, the expected recovery and safe discharge. 2 Care 2.1 General care of patients return to intensive care unit, observing closely, 24h care, good patient care and life, to keep clean and prevent pressure in local areas, to prevent rupture site infection, 1 for each test temperature 4h, such as body temperature reached 38.0 , given