Nursing care of a patient with anti-Jo-1 syndrome complicated with necrotizing fasciitis and contact dermatitis

XUAN Yanan; WANG Jin; WAN Lijuan; CHEN Xiaoling

doi:10.12209/CAIM202411250012

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Nursing care of a patient with anti-Jo-1 syndrome complicated with necrotizing fasciitis and contact dermatitis

更新时间：2024-12-31

- Nursing care of a patient with anti-Jo-1 syndrome complicated with necrotizing fasciitis and contact dermatitis
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  南方医科大学中西医结合医院风湿病科，广东广州， 510000
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202411250012
  CLC：
- Published Online：31 December 2024，
  
  Received：25 November 2024，
- 稿件说明：
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XUAN YANAN, WANG JIN, WAN LIJUAN, et al. Nursing care of a patient with anti-Jo-1 syndrome complicated with necrotizing fasciitis and contact dermatitis. [DB/OL].Clinical archives of integrative medicine, 2024.
DOI：

XUAN YANAN, WANG JIN, WAN LIJUAN, et al. Nursing care of a patient with anti-Jo-1 syndrome complicated with necrotizing fasciitis and contact dermatitis. [DB/OL].Clinical archives of integrative medicine, 2024. DOI： 10.12209/CAIM202411250012.

摘要

抗Jo-1抗体综合征合并坏死性筋膜炎在临床较为罕见，其病情发展迅速，病情凶险，病死率及截肢率极高。坏死性筋膜炎救治的关键是早期明确诊断，早期彻底扩创手术，并应用有效足量抗生素，辅以支持疗法。护理措施就是随着病程的进展而采取相应的综合方法。本例患者坏死性筋膜炎导致肌肉坏死，通过评估发现病情复杂且危重，实施4次右大腿感染灶清创+负压封闭引流（VSD）术，术后制定护理计划，包括饮食、皮肤、情志护理等。患者术后伤口愈合良好，生活质量提高。综合护理措施对抗Jo-1综合征合并坏死性筋膜炎和接触性皮炎患者有效，值得临床借鉴参考。同时，对于此类患者，应注重个体化治疗，根据患者的具体情况制定针对性的治疗和护理方案。

Abstract

Anti-Jo-1 antibody syndrome with necrotizing fasciitis （NF） is a rare clinical condition with rapid progression， severe disease， high mortality and amputation rate. Key issues in the treatment of necrotizing fasciitis are early diagnosis， early surgical debridement， effective use of sufficient antibiotics and supportive therapy. In this case， necrotizing fasciitis caused muscle necrosis. The comprehensive nursing evaluation revealed that the patient's condition was complex and critical. The patient underwent debridement and vacuum sealing drainage （VSD） of right thigh infection for 4 times. The postoperative nursing plan was developed， including diet， skin and emotional care. After implementation of comprehensive nursing interventions， the wound healed well and patient’s quality of life was improved. Comprehensive nursing measures are effective in treating patients with Jo-1 syndrome complicated with necrotizing fasciitis and contact dermatitis， and individualized nursing interventions are recommended. At the same time， it should pay attention to individual treatment and develop targeted treatment plans according to the specific situation of patients.

关键词

抗Jo-1综合征坏死性筋膜炎接触性皮炎护理负压封闭引流

Keywords

Anti-Jo-1 syndromenecrotizing fasciitiscontact dermatitisvacuum sealing drainage

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