摘要
目的总结肺炎克雷伯菌致多发性肝脓肿患者的成功抢救与加强护理。方法介绍2例危重患者的抢救配合、肝脓肿穿刺置管与手术切开冲洗引流护理、肺炎克雷伯菌感染特点与预防交叉感染、高热护理、用药护理、基础护理、营养支持、心理护理、出院指导等。结果 2例患者经加强护理,完全康复出院。结论肺炎克雷伯菌是常见的多重耐药菌,其引起的多发性肝脓肿患者病情危重、病程长,加强监护、积极处理危及生命的症状和体征、尽早使用敏感抗菌药物、有效的脓肿切开引流、预防交叉感染是抢救成功的关键。
Objective To conclude the successful rescue and intensive care to patients with multiple liver abscess caused by Klebsiella pneumonia.Methods The rescuing coordination to two critically ill patients,the nursing of liver puncture and tube indwelling,incision and drainage were summarized.The characteristics of the infection of Klebsiella pneumonia and the prevention of cross infection,the nursing of high fever,medicine taking,basic nursing,nutrition support,psychological nursing,discharge instructions and so on were introduced as well.Results After intensive care,two patients were discharged from hospital after recovery.Conclusion Klebsiella pneumonia is multidrug resistant,which can cause multiple liver abscess.Patients with multiple liver abscess are seriously sick and it takes a long time to cure them.The key to a successful rescue includes intensive care,dealing with the life-threatened symptoms and physical signs,early using anti-biotic drugs,cutting open the pyogenic liver abscess and leading the liquid out effectively and preventing the cross infection.
出处
《实用临床医药杂志》
CAS
2011年第18期92-95,共4页
Journal of Clinical Medicine in Practice
关键词
肺炎克雷伯菌
肝脓肿
加强护理
Klebsiella pneumonia
pyogenic liver abscess
intensive care
