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一例行异基因造血干细胞移植术合并环状混合痔感染患者的护理 被引量:11

The nursing of circumferential mixed hemorrhoids with infection during hematopoietic stem cell transplantation
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摘要 目的:总结1例异基因造血干细胞移植患者环状混合痔并发感染的护理体会,探索造血干细胞移植前合并严重环状混合痔的护理方法。方法在无菌层流室内通过制订护理计划,每日评估、密切观察患者的环状混合痔情况。采用0.5‰聚维酮碘水溶液坐浴及2%碘仿油膏涂肛周等措施预防肛周感染;聚维酮碘纱布湿敷肛周、中药艾草水溶液坐浴、紫外线照射等方法控制肛周感染,同时给予患者必要的心理支持。结果经过精心护理,患者安全度过白细胞“零期”,造血干细胞移植成功。结论通过本例患者的实践证明,上述方法对预防环状混合痔感染是有效的。 Objective To summarize the nursing experience of allogeneic hematopoietic stem cell transplantation patients with circumferential mixed hemorrhoid intercurrent infection, explore the nursing methods of severe circumferential mixed hemorrhoid before allogeneic hematopoietic stem cell transplantation. Methods The detailed nurse plan and carefully observation and assess of lesion were performed daily. Iodophor water at the concentration of 0.5‰ was used for anal bath and 2% iodine ointment was used to smear perianal to prevent of infection. And gauzes soaked iodophor were used to cover the lesions, and Chinese traditional herb for anal bath and ultraviolet exposure to control infection. Additionally, the necessary psychological support was given to overcome the fear. Results After the careful nursing, the patient passed through the agranulocytosis period and achieved the success of transplantation. Conclusions This case suggests that the methods in prophylaxis of patients with circumferential mixed hemorrhoids is effectious.
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出处 《中国实用护理杂志》 2016年第5期-,共3页 Chinese Journal of Practical Nursing
关键词 造血干细胞移植 护理 环状痔 Hematopoietic stem cell transplantation Nursing care Circumferential mixed
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