eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (4): 450-452.doi: 10.3761/j.issn.2096-7446.2026.04.010

• Emergency Care Research • Previous Articles     Next Articles

Nursing care for a child with congenital insensitivity to pain and anhidrosis complicated by sepsis and status epilepticus

XU Feng1(), ZHANG Yi1, WANG Xiuling1, PAN Lili1, ZHU Jihua2,*()   

  1. 1 Department of Neurology, Children’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Children and Adolescents’ Health and DiseasesHangzhou 310052, China
    2 Department of NursingChil-dren’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Children and Adoles-cents’ Health and DiseasesHangzhou 310052, China
  • Received:2025-10-21 Online:2026-04-10 Published:2026-04-02
  • Contact: ZHU Jihua E-mail:6513308@zju.edu.cn;jihuazhu@zju.edu.cn
  • Supported by:
    General Research Projects of Zhejiang Provincial Department of Education(Y202456993)

Abstract:

To summarize the nursing experience for a child with congenital insensitivity to pain with anhidrosis complicated by sepsis and status epilepticus. Key interventions included dynamic condition assessment using the Phoenix Sepsis Score and early identification of sepsis high-risk state and vigilance against septic shock,multidisciplinary collaborative convulsion monitoring and emergency care,refined temperature management for anhidrosis-related dysregulation and advancing high fever risk prevention,addressing the issue of pain sensation loss by enhancing self-harm behavior protection to reduce infection and fracture risks,and family-centered discharge care guided by a care map. The child achieved stable condition and was discharged after 14 days of standardized intervention.

Key words: Congenital Insensitivity to Pain with Anhidrosis, Sepsis, Convulsions, Child, Critical Care Nursing