Observation and nursing of varicella.doc

 PAGE \* MERGEFORMAT 7 Observation and nursing of varicella [Keywords:] chicken pox Keywords: Varicella; infection; Care Chickenpox is a varicella - zoster virus infection caused by a contagious skin disease herpes hill to rash, papules, herpes, there is also characterized by rash scab. Occur in the winter and spring [1], more common in children and adult patients in recent years, however, there is a gradual increasing trend. Availability of long-lasting immunity after an infection, those who fall ill again, very little. Our hospital at 200,301 ~ 200,412 patients with 15 cases of chickenpox were treated by timely treatment and care are discharged. A clinical data 15 cases of patients, 9 males and 6 females; the oldest 22 years old, minimum 3 years of age; contact with chicken pox in kindergarten children with three cases of infected persons; two cases of secondary school students, college students in 10 cases. Mostly in patients with chills, fever, headache, sore throat, general malaise, onset, body temperature at 38.5 ~ 40 ℃ , followed by rash, first appeared in the trunk, head and face, and gradually extended and limbs, showing the concentric distribution of the trunk and head up, limbs less. Papules may be in batches, water Varioliform, scab rash. Herpes oval, thin wall and easy to break, surrounded by flush, blister fluid and transparent, cloudy after a few days later began to scab, without secondary infection, removal would not stay after scar excision. 2 Treatment Systemic treatment: ribavirin 0.4 ~ 0.8 g of 5% glucose intravenous infusion of 250 ml, 1 ~ 2 times / d (Child reduce it), or acyclovir 250 mg by adding 10% glucose 250 ml intravenous infusion, a ~ 2 times / d (Child reduce it); to prevent secondary infection: anti-virus while giving antibiotics such as penicillin, Pioneer, etc.; symptomatic treatment: patients with febrile Zhu Huanzhe the water to take the physical cooling, cooling and other drugs. 3 Observation and nursing 3.1 The i