Nursing of one patient with extremely severe burn-blast combined injury complicated with acute kidney injury caused by dust explosion
10.3760/cma.j.cn501120-20190415-00188
- VernacularTitle:一例粉尘爆炸致特重度烧冲复合伤并发急性肾损伤患者的护理
- Author:
Bin JIANG
1
;
Mingyan SHEN
;
Tao SHEN
Author Information
1. 浙江大学医学院附属第二医院烧伤科，杭州 310009
- Keywords:
Burns;
Nursing care;
Povidone;
Dust explosion;
Burn-blast combined injury
- From:
Chinese Journal of Burns
2020;36(7):603-605
- CountryChina
- Language:Chinese
-
Abstract:
On January 31, 2018, a 21-year-old male patient with extremely severe burn-blast combined injury complicated with acute kidney injury caused by dust explosion of crospovidone was admitted to the Second Affiliated Hospital of Zhejiang University School of Medicine. The following nursing measures were carried out, aiming at the condition of the patient. We strengthened the management of fluid intake and output volume, prevented hypothermia and unplanned disembarkation during the period of continuous renal replacement therapy with burn shock and acute kidney injury. For traumatic pneumothorax, we took a good care of the closed chest drainage tube and implemented a ventilation strategy of low tide and low positive end expiratory pressure. During the infection with carbapenem-resistant Klebsiella pneumoniae, the environmental disinfection of the care unit was optimized and polymyxin B drug care was done. After 71 days of comprehensive treatment and nursing care, the patient recovered and was discharged from hospital. This case suggests that, in view of the renal function and lung function of patients with extremely severe burn-blast combined injury, individualized treatment and nursing measures are helpful to improve the cure rate and prognosis.
