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北京市大兴区人民医院 呼吸与危重症医学科, 北京, 102600
收稿日期:2025-06-25,
录用日期:2025-07-17,
网络出版日期:2025-09-02,
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吕正硕, 李奇, 崔丽丽, 等. 1例重症肺炎合并复杂压疮患者的VSD技术护理报告[DB/OL].中西医结合临床案例库, 2025.
LV Zhengshuo, LI Qi, CUI Lili, et al. Nursing Report on VSD Technology for a Patient with Severe Pneumonia Complicated by Complex Pressure Ulcers[DB/OL].Clinical archives of integrative medicine, 2025.
吕正硕, 李奇, 崔丽丽, 等. 1例重症肺炎合并复杂压疮患者的VSD技术护理报告[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506250017.
LV Zhengshuo, LI Qi, CUI Lili, et al. Nursing Report on VSD Technology for a Patient with Severe Pneumonia Complicated by Complex Pressure Ulcers[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506250017.
本文报告1例重症肺炎合并复杂难治性压疮患者的成功护理经验。患者因重症肺炎、低蛋白血症导致全身状况恶化,并发骶尾部复杂压疮伴感染,常规护理效果不佳。针对患者复杂病情及压疮特点,实施个性化护理方案联合负压封闭引流(VSD)技术。在多学科团队协作下,经过精心治疗与系统性护理干预,患者肺部感染得到有效控制,营养状况显著改善,复杂压疮创面肉芽组织生长良好,感染消除,最终实现创面愈合,治疗54 d后顺利出院。
This article presents a successful nursing experience of a patient with severe pneumonia complicated by complex refractory pressure ulcers. Due to severe pneumonia and hypoalbuminemia, the patient's systemic condition deteriorated, leading to infected sacrococcygeal complex pressure ulcers that were unresponsive to conventional care. A personalized nursing protocol combined with vacuum sealing drainage (VSD) technology was implemented based on the patient’s complex condition and ulcer characteristics. Through multidisciplinary collaboration and systematic interventions, the patient achieved effective control of pulmonary infection, significant improvement in nutritional status, robust granulation tissue growth in the ulcerated area, and complete infection resolution. The wounds ultimately healed, and the patient was discharged after 54 days of treatment.
郑温馨 , 罗苑苑 , 李乐 , 等 . 成人重症肺炎证治规律的数据挖掘与分析 [J]. 广州中医药大学学报 , 2023 , 40 ( 1 ): 247 - 253 .
ZHENG W X , LUO Y Y , LI L , et al . Data mining and analysis of the syndrome differentiation and medication regularity for severe pneumonia in adults [J]. J Guangzhou Univ Tradit Chin Med , 2023 , 40 ( 1 ): 247 - 253 . (in Chinese)
叶露 , 田永菊 , 张光阳 . 预防性干预联合振动排痰法对ICU重症肺炎患者并发症的影响 [J]. 河北医药 , 2023 , 45 ( 13 ): 2005 - 2008 .
YE L , TIAN Y J , ZHANG G Y . Effect of preventive intervention combined with vibratory sputum drainage on complications in ICU patients with severe pneumonia [J]. Hebei Med J , 2023 , 45 ( 13 ): 2005 - 2008 . (in Chinese)
汪丽华 , 张洁莹 , 崔静 . 1例VSD负压引流技术联合综合治疗骶尾部不可分期压力性损伤的个案护理 [J]. 中文科技期刊数据库(全文版)医药卫生 , 2022 ( 7 ): 157 - 160 .
WANG L H , ZHANG J Y , CUI J . Nursing care of a case with VSD negative pressure drainage combined with comprehensive treatment of sacrococcygeal pressure injury which can not be divided into stages [J]. Chinese Science and Technology Journal Database (Full Text) - Medicine and Health , 2022 ( 7 ): 157 - 160 . (in Chinese)
朱珊 , 李菊珍 , 王智荣 , 等 . 肠内营养对褥疮患者支持治疗效果观察 [J]. 中国老年保健医学 , 2009 , 7 ( 4 ): 56 - 57 .
ZHU S , LI J Z , WANG Z R , et al . Study the treatment of enterd nutrition for the patients with bedsore [J]. Chin J Geriatr Care , 2009 , 7 ( 4 ): 56 - 57 . (in Chinese)
魏清风 , 邢秋燕 , 黎明 . 心理暗示疗法在医疗护理领域的研究进展 [J]. 齐鲁护理杂志 , 2014 , 20 ( 2 ): 52 - 54 .
WEI Q F , XING Q Y , LI M . Research progress of psychological suggestion therapy in the field of medical care [J]. J Qilu Nurs , 2014 , 20 ( 2 ): 52 - 54 . (in Chinese)
王晶晶 . 五行音乐疗法与耳穴埋豆法联合应用对COPD患者焦虑抑郁症状的缓解作用 [C]// 关爱生命大讲堂之生命关怀与智慧康养系列学术研讨会论文集 . 线上会议 , 2025 : 332 - 335 .
张海洋 . 保持呼吸机管路低位预防呼吸机相关性肺炎的作用分析 [J]. 中国实用医药 , 2025 , 20 ( 13 ): 28 - 31 .
ZHANG H Y . Analysis of the role of maintaining ventilator tubing at low position in preventing ventilator-associated pneumonia [J]. China Pract Med , 2025 , 20 ( 13 ): 28 - 31 . (in Chinese)
丁娟 , 陈晓丽 , 肖月 , 等 . 成人机械通气患者雾化吸入护理的最佳证据总结 [J]. 中华护理杂志 , 2024 , 59 ( 12 ): 1512 - 1519 .
DING J , CHEN X L , XIAO Y , et al . Summary of the best evidence on nebulizing inhalation care in adults with mechanical ventilation [J]. Chin J Nurs , 2024 , 59 ( 12 ): 1512 - 1519 . (in Chinese)
崔扬 . 气道廓清技术联合体位引流与床旁呼吸训练护理对支气管扩张患者排痰量及肺功能指标的影响研究 [J]. 中国科技期刊数据库 医药 , 2025 ( 3 ): 118 - 121 .
CUI Y . Study on the effect of airway clearance combined with postural drainage and bedside breathing training nursing on sputum output and lung function index of patients with bronchiectasis [J]. China Science and Technology Journal Database - Medicine , 2025 ( 3 ): 118 - 121 . (in Chinese)
郑彩娥 , 李秀云 . 心肺康复护理技术操作规程 [M]. 北京 : 人民卫生出版社 , 2020 .
冯肖颜 , 罗雯娟 , 曾丽群 . 雷火灸联合负压封闭引流治疗Ⅲ~Ⅳ期压疮疗效观察及对肉芽组织生长因子的影响 [J]. 中医康复 , 2025 , 16 ( 7 ): 56 - 60, 66 .
FENG X Y , LUO W J , ZENG L Q . Thunder fire moxibustion combined with negative pressure closed drainage for the treatment of stage Ⅲ-Ⅳ pressure ulcers and its effect on granulation tissue growth factors [J]. Tradit Chin Med Rehabil , 2025 , 16 ( 7 ): 56 - 60, 66 . (in Chinese)
ZUNIGA J , MUNGAI M , CHISM L , et al . Pressure ulcer prevention and treatment interventions in Sub-Saharan Africa: a systematic review [J]. Nurs Outlook , 2024 , 72 ( 3 ): 102151 .
ZAJAC K K , SCHUBAUER K , SIMMAN R . The unavoidable pressure injury/ulcer: a review of skin failure in critically ill patients [J]. J Wound Care , 2024 , 33 ( Sup9 ): S18 - S22 .
HANÇER TOK H , UZUN L N . Pressure ulcer prevention: family caregiver training effectiveness [J]. BMJ Support Palliat Care , 2024 , 15 ( 1 ): 72 - 78 .
POKORNÁ A , KOTTNER J . Finding proper timing in pressure ulcer management for quality care [J]. J Wound Care , 2024 , 33 ( 9 ): 619 .
HU S Q , XIAO J , NIE X , et al . Vacuum sealing drainage combined with continuous irrigation for the treatment of oral and maxillofacial abscesses-a retrospective study [J]. BMC Oral Health , 2025 , 25 ( 1 ): 257 .
LIN B , ZHANG H J , SUN S J , et al . Application and prognostic analysis of vacuum sealing drainage in the incision infection in patients with stage II-III colorectal cancer [J]. Am Surg , 2024 , 90 ( 12 ): 3253 - 3261 .
李佳明 . 负压封闭引流技术与传统清创换药在Ⅲ度及以上骶尾部压疮治疗中的对比分析 [D]. 沈阳 : 沈阳医学院 , 2023 .
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