Clinical features and nursing strategy of 8 patients with rhinocerebral mucormycosis
10.3760/j.issn.1674-2907.2015.06.024
- VernacularTitle:8例鼻脑毛霉菌病患者的临床特点分析及护理
- Author:
Lanying WEN
1
;
Jian′guo HUANG
;
Fengjiao YAN
Author Information
1. 510080 广州，中山大学附属第一医院耳鼻咽喉科
- Keywords:
Mucormycosis,rhinocerebral;
Clinical feature;
Nursing
- From:
Chinese Journal of Modern Nursing
2015;21(6):686-688
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical features and nursing strategy of rhinocerebral mucormycosis , and to improve the knowledge of the disease and the quality of care .Methods The data of 8 cases with rhinocerebral mucormycosis were reviewed and analyzed .The clinical features and nursing intervention were analyzed throughout the course of disease .Results The underlying immunosuppressive condition of the 8 cases of mucormycosis had diabetes , diabetic ketoacidosis , anaemia or adiotherapy with headache and orbitial apex syndrome as the early symptoms .Nurses focused on local signs observation , perioperative change of intracranial pressure and general conditions , drug adverse reaction observation and nursing care of original disease , mental care, and basic nursing care .There were certain effects for corresponding nursing measures without occurrence of nursing events duration of hospital stay .1 patient died within one week in hospital;4 patients had survived from 3 to 12 months; and 3 patients had been alive over 3 years until now.Conclusions Rhinocerebral mucormycosis was the secondary onset severe diseases for patients with poor immunologic function , implicated in the orbit and brain , and the fatality rate was high .It could hold the development of the disease by clearing up the focus and wiping off the condition of fungi thrive together with medical management and adequacy nursing intervention .
