Dermatomyositis complicated with interstitial lung disease Clinical observation of 10 cases and Nursing.docVIP
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Dermatomyositis complicated with interstitial lung disease Clinical observation of 10 cases and Nursing
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Dermatomyositis complicated with interstitial lung disease Clinical observation of 10 cases and Nursing
[Keywords:] dermatomyositis complicated with interstitial lung disease; observation; nursing experience
Dermatomyositis (DM) is a striated muscle involvement in systemic autoimmune diseases, mainly, can affect various body organs. Which, interstitial lung disease (ILD) of its common serious complication rate of about 5% to 30 %, the disease is more common in women. because can cause lung failure, increased mortality, secondary to respiratory failure is the leading cause of death in this disease [1], so more and more clinical attention. if improper care may be worse Therefore, the treatment of such patients in clinical work and care is the difficulty. our hospital on December 30, 2007 -2009 JCP on 30 December with dermatomyositis were treated 10 cases of interstitial lung disease, the clinical treatment basis, supported by meticulous care, and achieved good results, now nursing reported as follows.
1 Clinical data
December 30, 2007 -2009 admitted on December 30 JCP 44 cases of dermatomyositis, including dermatomyositis with interstitial lung disease in 10 cases, the occurrence rate of 22.7%. 6 male and 4 female. Diagnosis of all cases Bohan (1975) Diagnostic criteria of dermatomyositis [2] .10 cases, 3 cases were complicated with hypertension, 1 case of chronic hepatitis B, 1 case of pressure ulcers, 1 case with (mediastinum) small cell carcinoma, 1 case .10 with diabetes and patients with multiple sclerosis in patients with dermatomyositis with interstitial pneumonia, chest X ray or CT were suggestive of interstitial lung disease. are applied corticosteroids therapy, azathioprine or immunosuppressant combined methotrexate or cyclophosphamide or cyclosporin A tumor or Ning or triptolide treatment.
2 Care
2.1 The psychological care of patients with dermatomyositis associated with interstitial lung disease due to respira
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