1例急性白血病并发气单胞菌化脓性骨髓炎患者的护理

Nursing care of an acute leukemia patient complicated with aeromonas suppurative osteomyelitis:a case study

总结1例急性白血病并发左下肢气单胞菌化脓性骨髓炎患者的护理经验。护理要点包括:采取针对性医院感染防控措施;积极预防及处理感染性休克、贫血、出血、深静脉血栓、肢体功能障碍等并发症;保持营养支持和血糖控制之间的平衡;加强出院宣教,提高患者治疗和随访依从性。经过30 d的治疗和护理,患者骨髓炎好转后出院。患者出院后2个月随访骨髓炎未复发,手术切口愈合良好,顺利接受异基因造血干细胞移植。

The nursing experience of an acute leukemia patient complicated with left lower extremity aeromonas pyogenic osteomyelitis was summarized.The nursing points include:taking targeted measures to prevent the outbreak of hospital infection;actively preventing and dealing with complications such as septic shock,anemia and bleeding,deep vein thrombosis and limb dysfunction;maintaining a balance between meeting nutritional needs and controlling blood sugar;strengthening discharge education,improving patients’treatment and follow-up compliance.After 30 days of intensive treatment and nursing care,the patient was discharged from the hospital after osteomyelitis under control.After 2 months of follow-up,the patient had no recurrence of osteomyelitis,and the wound healed well.The patient received allogeneic hematopoietic stem cell transplantation successfully.