总结一例高龄糖尿病患者因猫抓伤致上肢坏死性筋膜炎的手术护理经验。护理要点包括加强术前访视、制订术中护理方案、组建多学科团队、确立目标导向的术中循环管理、执行基于循证的集束化术中保温策略、预防术中感染及术中压力性损伤。经过充分的准备与精细化的术中护理，患者手术过程平稳，术后植皮区域的皮瓣存活良好，于第13天顺利出院。

To summarize the nursing experience of an elderly diabetic patient with necrotizing fasciitis of the upper limb caused by cat scratch.The main nursing points include enhanced preoperative visits,development of intraoperative care programs,formation of multidisciplinary teams,establishing goal-directed intraoperative cycle management,implementation of a bundle of evidence-based intraoperative thermal insulation strategies,prevention of intraoperative infection，and prevention of intraoperative pressure injury.After full preparation and refined intraoperative nursing care,the patient underwent a smooth surgery.The flap in the implantation area of the affected limb survived well and the patient was discharged on the 13th day.

R473.58