Nursing case of necrotizing fasciitis in a patient with hypoproteinemia after spinal tumor resection

Yu Xu; Yao-Feng Zhu

doi:10.2478/FON-2025-0030

摘要：Objective:To summarize the nursing experience of a patient with necrotizing fasciitis(NF)secondary to hypoproteinemia after spinal tumor resection. Methods:We analyzed the clinical data of a patient with hypoproteinemia and described in detail his symptoms,examination results,and diagnosis.We explored the evaluation method of hypoproteinemia in orthopedic patients and its relationship with adverse postoperative outcomes,including the risk of reoperation and rehospitalization,the impact on postoperative wound healing,and the increased probability of wound infection.We also introduced the symptoms of NF and traditional Chinese medicine treatment methods,including debridement and drainage of NF and corresponding nursing measures.These measures involve wound management,anti-infection treatment,psychological nursing,pain management,complication monitoring and treatment,dietary guidance,etc.TCM nursing includes treatment methods such as hip bath and moxibustion. Results:After careful treatment and nursing,the patient was discharged 36 d after admission. Conclusions:The nursing experience from this case shows that early diagnosis and comprehensive treatment are essential for NF secondary to hypoproteinemia after resection of a spinal tumor.While evaluating and managing hypoproteinemia,it is essential that the postoperative condition of patients must be closely monitored,any occurrence of complications must be dealt with in time,and effective nursing measures,including TCM treatment methods,must be taken to promote the recovery and good prognosis of patients.