To summarize the nursing experience of a case of acute lymphoblastic leukemia complicated with inguinal necrotizing fasciitis. Nursing points include：to fully evaluate the wound condition,a variety of debridement methods combined with the removal of wound necrotic tissue;the negative pressure technique of wound perfusion was used to control wound infection;secondary wound suture was performed as soon as possible;the use of wet dressings to promote residual wound healing;scientific management of urine and feces to avoid contamination of the wound;personalized nutrition solution is prepared to provide adequate nutrition support. After active treatment and careful nursing care,the patient’s condition was stable. 83 days later,the wound healed and the second stage chemotherapy was continued.

Objective To investigate the current status of case management for children with diabetes in 31 provinces regions,and to provide references for the construction of case management model for children with diabetes. Methods Using convenient sampling,a self-designed electronic questionnaire was adopted to conduct across-sectional survey of nursing managers and diabetes nurses from 89 hospitals in 31 provinces of China from May 16 to May 31,2019. Results A total of 28 children’s hospitals,49 general hospitals and 12 maternal and child health care institutions were investigated. Among them,23 hospitals（25.84%） carried out case management for children with diabetes. However,among the 178 respondents,only 124（69.66%） were aware of case management. The implementation rales of pediatric diabetes case management in children’s hospitals and tertiary hospitals were better than those in non-children-specialized hospitals and secondary hospitals. The top 3 reasons why hospitals did not develop case management for diabetic children included the little knowing about case management among relevant professional personnel,imperfection of operation system and the shortage of staff. Conclusion Case management for diabetic children is far beyond fully covered in domestic hospitals. Taking full advantage of children’s hospitals and tertiary hospitals will facilitate the establishment of standardized work procedures and effective evaluation system,in order to provide high-quality services for diabetic children.