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艾滋病患者合并特大尾骶部压疮1例报道

李敏,王晓旭,王春红,沈逸婷,陆明   

  1. 上海市公共卫生临床中心 骨科 上海市 201508,上海市公共卫生临床中心 骨科 上海市 201508,上海市公共卫生临床中心 骨科 上海市 201508,上海市公共卫生临床中心 骨科 上海市 201508,上海市公共卫生临床中心 骨科 上海市 201508
  • 收稿日期:2019-02-11 修回日期:2019-02-11 出版日期:2019-01-25
  • 基金资助:
    复旦大学附属上海公共卫生临床中心院级课题(项目编号:GW-KY-2018-047;项目名称:特殊感染人群骨科疾病诊疗亚专科建设)

A Case Report of AIDS Patients Combined with Extra-large Sacral Pressure Ulcer

LI Min,WANG Xiaoxu,WANG Chunhong,SHEN Yiting and LU Ming   

  1. Shanghai Public Health Clinical Center,Shanghai Public Health Clinical Center,Shanghai Public Health Clinical Center,Shanghai Public Health Clinical Center,Shanghai Public Health Clinical Center
  • Received:2019-02-11 Revised:2019-02-11 Online:2019-01-25

摘要: 目的:本文通过对1例感染人类免疫缺陷病毒(HIV)的艾滋病(AIDS)患者尾骶部巨大压疮疗效观察,明确AIDS患者尾骶部压疮的特点、临床分期以及治疗的特殊性。方法:给予AIDS患者尾骶部巨大压疮临床分期治疗。结果和结论:AIDS患者控制压疮最关键的是预防。临床实践中,当溃疡深达肌肉组织时,需做局部清创手术。对患者应加强营养支持,选择正确的敷料,有针对性地采取措施合理换药,改正不恰当或无效的护理措施,可提高护理效果和预后效果。

Abstract: Objective:To investigate the characteristics,clinical stage and treatment particularity of sacral pressure ulcer in AIDS patients by observing the curative effect of a case of sacral pressure ulcer of an AIDS patient with human immunodeficiency virus(HIV) infection. Methods:The clinical stage treatment was given to the extra-large sacral of an AIDS patient.Results & Conclusion:The most critical treatment for AIDS patients to control pressure ulcers is prevention. In clinical practice, local debridement surgery is required when the ulcer is deep into the muscle tissue.It should strengthen nutritional support, choose the right wound dressing,take targeted measures at dressing change, correct the inappropriate or ineffective nursing measures, and improve the nursing effect and prognosis.