1例新生儿脐带残端异常伴囊性改变的护理管理及随访

Nursing Management and Follow-Up of a Neonate with Abnormal Umbilical Cord Stump Accompanied by Cystic Changes

摘要: 报道1例足月男性新生儿脐带残端异常的护理经过。患儿出生后即见脐带根部肉芽样组织伴囊性改变，护理过程中以动态评估为核心，结合个体化局部护理措施，包括规范消毒、高渗湿敷、二次高位结扎及感染风险监测，并同步开展家属结构化健康教育与延续随访管理。经系统护理干预，患儿脐带残端未发生感染、出血等并发症，产后第22天顺利脱落，愈合良好。提示基于动态评估的个体化护理联合延续管理，有助于提高新生儿脐带异常护理的安全性与有效性。

Abstract: This report describes the nursing management of a full-term male neonate with an abnormal umbilical cord stump characterized by granulation-like tissue and cystic changes at birth. A dynamic assessment-based individualized nursing strategy was implemented, including standardized local care, hypertonic wet dressing, secondary high ligation, continuous infection surveillance, and structured caregiver education with follow-up support. During hospitalization and subsequent follow-up, no complications such as omphalitis or bleeding occurred, and the umbilical cord stump detached uneventfully on postnatal day 22 with good healing outcomes. This case suggests that individualized nursing guided by dynamic assessment, combined with continuity of care, may enhance safety and promote favorable healing in neonates with abnormal umbilical cord stumps.