Nursing care of a child with painless and sweatless syndrome
一例无痛无汗综合征患儿的护理

摘要

无痛无汗症（也称为先天性无痛无汗症）是一种罕见的先天性感觉神经病综合征，属于常染色体遗传疾病。该病的主要特征是患者会完全丧失对疼痛的感觉，这意味着患者会对有害的刺激失去警觉，会对患者的健康以及生命安全造成严重的危害。无痛无汗症在上世纪八十年代在我国出现比较系统的报道，由于其罕见性，该病的发病原因和发病机理目前尚不是很清楚。此种疾病的发生率为1/(1.25)亿，这意味着在每(1.25)亿人中，就有一个患者。然而，这种疾病往往容易被误诊和忽视，因为患者在成长过程中，往往会出现一系列其他的问题，如呼吸困难、感染等。2022年9月，我科收治了一名无痛无汗综合征患儿，现在让我们对该患儿的病程、治疗及护理措施做出汇报。

Abstract

Painless anhidrosis (also known as congenital painless anhidrosis) is a rare congenital sensory neuropathy syndrome, which belongs to autosomal genetic diseases. The main characteristic of the disease is that the patient will completely lose the sense of pain, which means that the patient will lose awareness of harmful stimuli, which will cause serious harm to the health and life safety of the patient. Painless anhidrosis was reported systematically in China in the 1980s. Due to its rarity, the cause and pathogenesis of the disease are not clear at present. The incidence of the disease is 1 in 125 million people, which means that there is one patient in every 125 million people. However, the disease is often misdiagnosed and overlooked because patients often have a range of other problems as they grow, such as breathing difficulties and infections. In September 2022, a child with painless sweating syndrome was admitted to our department. Now let us report the course, treatment and nursing measures of this child.