Abstract
Objective: To explore the treatment and nursing characteristics for pressure injury on the inside of the thigh caused by forced posture in patients with cirrhosis and diabetes mellitus. Methods: A patient with cirrhosis and diabetes mellitus complicated with abscess of right inner thigh pressure injury was selected as the study object, who was admitted to Xuzhou Medical University Hospital on June 29, 2019. The analysis of the clinical diagnosis, treatment and nursing process were applied to explore the prognosis of the patient with cirrhosis and diabetes mellitus complicated with deep abscess of the thigh. Results: The traditional treatment including incision and drainage was not allowed, as the general treatment was not effective for the patients with cirrhosis and diabetes mellitus complicated with deep abscess in the inner thigh. After 8 days of negative pressure manual dressing change combined with mupirocin ointment treatment, the local skin condition returned to normal. Conclusion: After literature search, it was found that the above-mentioned cirrhosis combined with diabetes and deep abscess cases in the inner thigh were rare clinically. When the traditional treatment of incision and drainage is limited, negative pressure manual dressing change combined with antibiotics is an effective method, which is worthy of clinical application and promotion.
Highlights
The liver is an important organ for the synthesis and storage of nutrients, and malnutrition is common in the occurrence and development of liver diseases
A patient with cirrhosis and diabetes mellitus complicated with abscess of right inner thigh pressure injury was selected as the study object, who was admitted to Xuzhou Medical University Hospital on June 29, 2019
When the traditional treatment of incision and drainage is limited, negative pressure manual dressing change combined with antibiotics is an effective method, which is worthy of clinical application and promotion
Summary
The liver is an important organ for the synthesis and storage of nutrients, and malnutrition is common in the occurrence and development of liver diseases. It is reported that about 75% - 90% of cirrhosis patients are accompanied with malnutrition in varying degrees when cirrhosis develops to decompensation of liver function [1]. The changes in liver structure in patients with cirrhosis can reduce the extraction of insulin from liver, leading to elevated insulin level in the whole body. Diabetes is an independent risk factor for the occurrence and progression of liver fibrosis [3], and diabetes can make metabolic disorders, such as accelerating the breakdown of metabolism, affecting the synthesis of albumin, and causing negative nitrogen balance in patients, reducing their resistance to infection. The clinical symptoms of this type of patients are not typical, which can lead to the diagnosis and treatment untimely, resulting in serious consequences [4]
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