Nursing Care of a Patient with Complex Perianal Necrotizing Fasciitis Complicated with Type 2 Diabetic Ketoacidosis

总结1例复杂性肛周坏死性筋膜炎伴2型糖尿病酮症酸中毒患者的护理经验。针对患者血糖高、创面深、疼痛、焦虑问题，采取以下护理措施：持续创面管理，积极预防感染；特色中医护理对术后肛门疼痛干预；MDT协作下，实施血糖危急值预警护理，警惕糖尿病酮症酸中毒发生；个体化营养支持；加强心理护理，同步健康教育；做好延续性护理。经过17 d精心护理与治疗，患者出院，2个月后随访，创面完全愈合，血糖恢复正常，回归社会工作。Summarize the nursing experience of a patient with complex perianal necrotizing fasciitis accompanied by type 2 diabetic ketoacidosis. In response to the patient’s high blood sugar, deep wound, pain, and anxiety, the following nursing measures were taken: continuous wound management and active prevention of infection; characteristic traditional Chinese medicine nursing for postoperative anal pain intervention; MDT collaboration to implement critical value warning nursing to alert for the occurrence of diabetic ketoacidosis; individualized nutritional support; strengthening psychological care and concurrent health education; providing continuous care. After 17 days of meticulous care and treatment, the patient was discharged. Two months later, during the follow-up visit, the wound completely healed, blood sugar returned to normal, and the patient returned to social work.