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

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。

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

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.