Question
What are the clinical manifestations of neonatal subcutaneous necrosis, and how should it be cared for?
Answer
Neonatal subcutaneous necrosis is a common disease seen in infants between 6 to 10 days after birth, often occurring in areas of the body that are subject to pressure, such as the back and buttocks. Initial symptoms include fever and refusal to breastfeed, with regional skin presenting as white swelling that spreads rapidly. Once the subcutaneous tissue liquefies and pus forms, there may be pus rupture. In the later stages, the skin may appear purple-black and necrotic, peeling off, and the infant may exhibit systemic infection and toxic symptoms. In severe cases, it may lead to sepsis. In terms of nursing care, extra attention should be given to the neonate. In cases of suspected viral infection, immediate medical attention should be sought. Nursing measures include closely monitoring temperature changes, keeping the affected area clean and dry, avoiding pressure on the affected area, and administering appropriate antibiotic treatment as prescribed by the doctor. Parents should closely cooperate with the medical team to ensure the child receives the best care.