Observation and Nursing of Massive Rotator Cuff Tears Combined with Systemic Lupus Erythematosus
Abstract: Systemic lupus erythematosus (SLE) is a kind of autoimmune disease, which is difficult to treat clinically nowadays. Rotator cuff tears (RCT) are more common in elder patients, many of whom would complain about pain, stiffness and weakness. The combination of the above two diseases could cause severe functional loss of the quality of life to the patient. In recent years, the treatment of arthroscopic surgeries for RCT is well developed. With the minimal invasion of the arthroscopic surgery, post-operative rehabilitation could be applied earlier. However, many of the patients would worry about that the surgery may get SLE worse, and choose conservative treatment instead, which leads to progressing of the RCT. This article reports one patient with massive RCT combined with SLE, who was admitted into our ward in September 2013. Before the operation, the long-term conservative treatment resulted in a poor clinical function of the shoulder joint and bad condition of quality of life. The forward elevation was 85˚, and the external rotation was 15˚. After the surgery, the patient received a careful clinical nursing. The shoulder was immobilized onto an abduction pad. The nursing for skin pressure was emphasized as well as other routine clinical health care. The rehabilitation program was well applied. The patient recovered well, and there was no complication found.
文章引用: 张晓婕 , 张 爽 , 安 惠 (2016) 系统性红斑狼疮患者合并巨大肩袖损伤的观察与护理。 护理学， 5， 7-12. doi: 10.12677/NS.2016.52002
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