【摘要】 奴卡菌感染是一种罕见且严重的机会性感染,常发生于免疫受损的患者。大动脉炎(TAK)是一种需长期使用免疫抑制和激素治疗的系统性血管炎性疾病,属于典型的免疫抑制群体。大动脉炎合并奴卡菌感染临床较少见,患者临床表现缺乏特异性,诊断主要依靠感染部位病原菌的分离和鉴定,而护理方面却因临床表现的不确定性尚无统一的护理措施,因此给护理人员带来了极大的挑战。本文重点回顾性分析了1例长期使用激素和免疫抑制剂的大动脉炎患者合并播散性奴卡菌感染的护理体会。主要的护理要点包括密切观察患者病情变化,重点护理患者出现的嗅觉异常,及通过与营养科协作加强饮食护理,同时辅以健康宣教等心理护理,随访1年,患者恢复良好。本护理经验为今后临床上成功护理风湿性疾病并发奴卡菌感染患者提供了一定的参考依据。更多还原

【Abstract】 Nocardia infection is a rare and serious opportunistic infection,which often occurs in immunocompromised patients.Takayasu arteritis ((TAK)) is a systemic vasculitis disease that needs long-term immunosuppression and steroid therapy,which belongs to a typical immunosuppressive population.Takayasu arteritis complicated with nocardia infection is rarely seen in clinic,and the clinical manifestation of the patients is lack of specificity.The diagnosis mainly depends on the isolation and identification of pathogens in the infection site,but there is no unified nursing measure in nursing because of the uncertainty of clinical manifestations.Therefore,it brings great challenges to the nursing staff.This paper focuses on a retrospective analysis of the nursing experience of a patient with arteritis complicated with disseminated nocardia infection who had been using hormone and immunosuppressant for a long time.The main points of nursing include close observation of the changes of patients’ condition,abnormal sense of smell of patients,and strengthening diet nursing in cooperation with nutrition department,supplemented by psychological nursing,such as health education,etc.,followed up for 1 year,the patients recovered well.This nursing experience provides a certain reference basis for clinical successful nursing of patients with rheumatic diseases complicated with nocardia infection in the future.更多还原