Nursing experience of a patient with toxic epidermal necrolysis treated by external application of traditional Chinese medicine

GUO Yalin; WEN Xiaoyan; DING Xiuling; JIA Lili

doi:10.12209/CAIM202411290009

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Nursing experience of a patient with toxic epidermal necrolysis treated by external application of traditional Chinese medicine

更新时间：2025-03-04

- Nursing experience of a patient with toxic epidermal necrolysis treated by external application of traditional Chinese medicine
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  天津中医药大学第一附属医院国家中医针灸临床医学研究中心肿瘤科，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202411290009
  CLC：
- Received：29 November 2024，
  
  Accepted：2025-02-11，
  
  Published Online：04 March 2025，
- 稿件说明：
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GUO Yalin, WEN Xiaoyan, DING Xiuling, et al. Nursing experience of a patient with toxic epidermal necrolysis treated by external application of traditional Chinese medicine[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

GUO Yalin, WEN Xiaoyan, DING Xiuling, et al. Nursing experience of a patient with toxic epidermal necrolysis treated by external application of traditional Chinese medicine[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202411290009.

摘要

本文总结中药外敷法治疗1例中毒性表皮坏死松解症患者皮肤的护理效果及体会。通过辨证施护，予中毒性表皮坏死松解症患者进行黄连消肿膏中药外敷，经过15 d治疗护理，患者皮肤由疱疹逐渐破溃、结痂，逐渐愈合，同时由于皮肤破溃引发的CVC管路从一开始无法固定，至找到合理方式，整个治疗周期未发生非计划性拔管，患者对治疗效果满意。黄连消肿膏具有清热燥湿，消肿止痛的作用，可供临床进一步推广借鉴。

Abstract

This paper summarizes the nursing effect and experience of external application of traditional Chinese medicine in the treatment of 1 case of toxic epidermal necrolysis. Through syndrome differentiation and nursing， the patients with moderate toxic epidermal necrolysis were treated with Huanglian Xiaozhong ointment externally. After 15 days of treatment and nursing， the patients' skin gradually broke and crusted from herpes， and gradually healed. At the same time， the CVC pipeline caused by skin break could not be fixed at the beginning， until a reasonable way was found. No unplanned extubation occurred in the whole treatment cycle， and the patients were satisfied with the treatment effect. Huanglian Xiaozhong ointment has the effects of clearing away heat and dampness， reducing swelling and relieving pain， which can be further promoted and used for reference in clinic.

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references

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