1例肠造瘘术后继发感染的白血病患者行造血干细胞移植的护理

Nursing care of hematopoietic stem cell transplantation for a leukemia patient with secondary infection after enterostomy

总结2022年2月我院收治的1例肠造瘘术后继发感染的白血病患者行造血干细胞移植(hematopoietic stem cell transplantation, HSCT)的护理经验。护理措施包括:患者入无菌层流病房前行造口皮肤无菌化处理,制定个性化的预防感染护理策略,根据粪便性状合理调整饮食类型,行右手五指缺如造口自我护理的训练,做好心理护理。患者移植过程中未发生严重感染,胃肠功能状态良好,术后18 d中性粒细胞植入成功,入无菌层流病房后23 d破溃皮肤愈合,移植术后30 d顺利出院。

Objective The aim of this paper was to summarize the nursing experience of hematopoietic stem cell transplantation(HSCT)in a case of leukemia with secondary infection after enterostomy admitted to our hospital in February 2022.Nursing measures included:The patients were treated with sterilized stomatological skin before entering the aseptic laminar flow ward,personalized infection prevention nursing strategies were formulated,diet types were reasonably adjusted according to fecal characteristics,and self-nursing training for the absence of right hand five fingers was performed,so as to do a good job of psychological nursing.The patient did not had serious infection during transplantation,and the gastrointestinal function was in good condition.Neutrophil implantation was successful 18 days after surgery,the skin was healed 23 days after admission to the sterile laminar flow ward,and the patient was discharged successfully 30 days after transplantation.