1例急性淋巴细胞白血病合并腹股沟坏死性筋膜炎患儿的护理  

Nursing care of a child with acute lymphoblastic leukemia complicated with inguinal necrotizing fasciitis

作　　者：林光燕[1] 熊俊 魏平 吴玉洁 LIN Guangyan;XIONG Jun;WEI Ping;WU Yujie

机构地区：[1]重庆医科大学附属儿童医院/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室门诊外科,重庆市400014

出　　处：《中华护理杂志》2022年第2期212-215,共4页Chinese Journal of Nursing

基　　金：重庆医科大学附属儿童医院院内护理科研课题(CHCQMU2020.16)。

摘　　要：总结1例急性淋巴细胞白血病合并腹股沟坏死性筋膜炎患儿的护理经验。护理要点包括:充分评估伤口情况,多种清创方式相结合清除伤口坏死组织;采用创面灌注负压技术,控制伤口感染;尽早行二期伤口缝合;使用湿性敷料,促进残余伤口愈合;科学管理大小便,避免粪水污染伤口;配制个性化营养液,提供充足的营养支持。经过积极的治疗与精心护理,患儿病情稳定,83 d后伤口愈合,继续行二期化疗。To summarize the nursing experience of a case of acute lymphoblastic leukemia complicated with inguinal necrotizing fasciitis.Nursing points include:to fully evaluate the wound condition,a variety of debridement methods combined with the removal of wound necrotic tissue;the negative pressure technique of wound perfusion was used to control wound infection;secondary wound suture was performed as soon as possible;the use of wet dressings to promote residual wound healing;scientific management of urine and feces to avoid contamination of the wound;personalized nutrition solution is prepared to provide adequate nutrition support.After active treatment and careful nursing care,the patient’s condition was stable.83 days later,the wound healed and the second stage chemotherapy was continued.

关 键 词：急性淋巴细胞白血病 坏死性筋膜炎 创面灌注负压技术 伤口护理 儿科护理学 

分 类 号：R473.73[医药卫生—护理学] R473.72[医药卫生—临床医学]