金黄色葡萄球菌烫伤样皮肤综合症护理体会.docVIP

精品论文 参考文献 金黄色葡萄球菌烫伤样皮肤综合症护理体会 徐小蓉 　　（成都市第五人民医院儿科四川成都611130） 　　 　　作者简介：徐小蓉(19717-)，籍贯：四川温江，工作单位：成都市第五人民医院儿科，主管护师，本科学。【摘要】目的:总结金黄色葡萄球菌烫伤样皮肤的综合护理方法，以期为提高该病的护理水平提供参考。方法：选取我院自2007年5月至2012年5月之间所收治的10例金黄色葡萄球菌烫伤样皮肤综合症患儿作为研究对象，应早期、足量、有效的应用抗生素抗炎，维持水电解质平衡和应用丙种球蛋白增加机体免疫力等对症治疗，以清除存在体内金葡菌感染灶，防止细菌继发产生，好预防继发感染，缩短病程。同时，采取相应的护理措施。结果：患儿入院经治疗后，第二天精神太及进食情况均明显改善，出现了375℃左右的低体温。患儿皮肤脓疱疹明显改善，渗出较较治疗前明显改善，除2例患儿结痂延迟外，其他患儿均结痂良好。第3d患儿的体温回复正常，无渗出液，皮肤红斑变淡，皮肤无瘙痒感，眼睛无分泌物，眼周皱褶减轻明显。5d后患儿临床症状均改善，脓疱疹彻底清除，均结痂，结痂后部分脱落，第8d出院。结论：通过对SSSS综合症患儿护理，有效病情观察和细致周到护理，可以促进患儿创面早日愈合，有效减少并发症，降低死亡率。 　　【关键词】金黄色葡萄球菌烫伤样皮肤综合症；护理；分析Nursing experience in sample staphylococcus aureus scalded skin syndrome 　　Xiu Xiaorong(The Fifth Peoples Hospital of Chengdu, Sichuan, Chengdu, 611130) 　　【Abstract】Objective:To summarize comprehensive sample staphylococcus aureus scalded skin care methods,in order to provide references to improve the nursing level of the disease.Methods:our hospital from May 2007 to May 2012,10 cases were treated by between sample staphylococcus aureus scalded skin syndrome as the research object,should be early,adequate and effective application of antibiotics anti-inflammatory,maintaining water and electrolyte balance and increase immunity and other symptomatic treatment application of gamma globulin,exist in clear s.aureus bacteria infection in the body,prevent bacterial secondary,to prevent secondary infection,shorten the course of the disease.At the same time,the corresponding nursing measures.Results:Hospital the next day,the children with mental,eating good,occasionally low temperature 375 ℃ or so,skin rash and pustules seepage decreased significantly earlier,most of the callus,lupus dark skin,mildly itchy.Temperature returned to normal,3 days pustular rash skin absorption,no leakage,skin erythema becomes shallow,no itching,eye secretion disappeared,eye week radial wrinkles reduce obviously.5 days with generally good,skin rash disappeared,pustules scab over,all small scabby fall off.8 days,cure discharged