1 case of childhood leukemia after chemotherapy induced perianal infection care.docVIP

 PAGE \* MERGEFORMAT 6 1 case of childhood leukemia after chemotherapy induced perianal infection care Chemotherapy is an important means for the treatment of leukemia, due to chemotherapy and bone marrow suppression of white blood cell destruction, decreased body resistance, combined with mucosal cells to chemotherapeutic drug sensitivity, more anal mucosa causing ulceration, formation of wound infection that may cause perianal infection, to children with pain, but also to clinical treatment and care to bring some difficulties. Therefore, strengthening the perianal care, improve the quality of life of patients is very important. I Division in March 2010 due to successful care and 1 case of severe chemotherapy induced perianal infection in children with leukemia, now nursing reported as follows: 1 Clinical data Children Male, 10 years and 9 months, diagnosed with acute myeloid leukemia by M3a central nervous system leukemia in February in our hospital DA regimen (daunorubicin + Ara past and meningeal leukemia prevention triple intrathecal chemotherapy perianal infection occurred on day 10, admission examination: fever, mild anemia appearance, anal local swelling, skin into a purple-red, touch your hair hard and tenderness, pain, routine blood test showed WBC0.3 109 / L , Hb83g / L, PLT7 109 / L, positive anti-infection after admission (fast Sulperazon + million) or white blood cells, platelets and local perianal care and transportation, due to low white blood cells, 3 days after admission anal lithotomy position 8 the point of apparent swelling and ulceration on the right shows the wound of about 5cm long arc, depth of 0.5cm, the inner about 5cm 1cm, the skin was necrosis, the skin surface crusting, redness and swelling on the right hip tenderness, touch There induration, check blood showed WBC0.86 109 / L, PLT43 109 / L, B-show: perianal and right buttock soft tissue swelling, and further exchange with antibiotics (imipenem + Swallow), support (C bu