Comprehensive treatment of bedsore nursing of 42 patients.docVIP

 PAGE \* MERGEFORMAT 8 Comprehensive treatment of bedsore nursing of 42 patients [Keywords:] comprehensive treatment of bedsore care Bed sores are most likely to bedridden patients in clinical complications occurred in one of the local soft tissue due to sustained pressure, hemodynamic changes lead to local tissue ischemia, hypoxia, nutrient metabolism and the pathological process of degeneration and necrosis. Is also a clinical One of the problems is relatively difficult. in our hospital from May 2003 -2008 all kinds of pressure ulcers in May of 42 patients were treated, after a comprehensive treatment, a significant effect. these are as follows 1 Clinical data 1.1 The study of 42 cases hospitalized patients bring their own or the occurrence of pressure ulcers, 32 males and 10 females, aged 43 to 78 years old. Which paralyzed due to spinal trauma in 25 cases, 12 patients with diabetes. Serum albumin lt;35g / L of 8 cases, hemoglobin lt;80g / L in 15 cases. to prevent any pressure sores in bed for 10 to 35 days. 1.2 Classification of pressure sores stages: local skin swelling or tenderness for the stage ; #8203;#8203;compression surface purple, subcutaneous induration. Epidermal blister formation as a phase ; shallow tissue infection, pus out, ulcer formation or necrotic tissue fat Black, purulent secretions increase, the smell of infection to the surrounding deep extension, up to bones, and even sepsis as . , 22 cases of 34 for, 18 of the 15 cases, of 5 cases of 6. bacterial cultures: E. coli in 3 cases, 3 cases of Staphylococcus aureus, Pseudomonas aeruginosa bacteria in 1. 2 treatment 2.1 Basic methods and care to keep wards clean and tidy environment, comfortable, regular disinfection. Sheets clean, flat, dry, comfortable, frequent change of bed linen, quilt, and underwear, brush daily for patients, plus air bed, turn over cards to establish, in the conditions permitting, according to the left - supine - on the right - the order of th