A case study of postoperative nursing care for a left-behind adolescent child with cat scratch disease
一例青春期留守儿童猫抓病术后护理体会

摘要

本文报告1例13岁青春期留守儿童猫抓病术后护理个案。患儿因猫抓伤致左侧腮腺及颈部脓肿，伴发热，在外院治疗效果不佳后转入我院，经病原学检测确诊为汉赛巴尔通体感染，行切开引流术后予抗感染及对症治疗。护理重点围绕伤口护理、饮食护理、心理护理、延续性护理开展，针对患儿重度肥胖、空腹血糖受损、高尿酸血症及留守儿童心理特点实施个体化干预。术后4天患儿好转出院，随访40天切口愈合良好，无并发症。提示对青春期留守儿童猫抓病患者，在规范治疗基础上实施系统化整体护理，重视心理社会需求与长期健康管理，可有效促进康复，改善预后。

Abstract

This paper reports a case of postoperative nursing care for an adolescent left-behind child with cat-scratch disease (CSD). A 13-year-old girl suffered from left parotid and neck abscesses with fever due to cat scratch. She was transferred to our hospital after ineffective treatment in other hospitals, and was diagnosed with Bartonella henselae infection by etiological detection. Incision and drainage were performed, followed by anti-infection and symptomatic treatment. Nursing interventions focused on wound care, diet care, psychological care and continuous care. Individualized measures were implemented according to the patient’s conditions of severe obesity, impaired fasting glucose, hyperuricemia and the psychological characteristics of left-behind children. The patient improved and was discharged 4 days after operation. The incision healed well during 40 days of follow-up without complications. The results suggest that for adolescent left-behind children with CSD, systematic holistic nursing based on standard treatment, with emphasis on psychosocial needs and long-term health management, can effectively promote rehabilitation and improve prognosis.