亲体现场移植术后并发吻合口血栓再次行异体小肠移植患者的护理

doi:10.3761/j.issn.2096-7446.2023.09.015

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (9): 838-841.doi: 10.3761/j.issn.2096-7446.2023.09.015

亲体现场移植术后并发吻合口血栓再次行异体小肠移植患者的护理

邵冬玲, 黄旭叶

310003 杭州市浙江大学医学院附属第一医院结直肠外科

收稿日期:2023-04-06 出版日期:2023-09-10 发布日期:2023-09-21
通讯作者: 黄旭叶,E-mail：1505054@zju.edu.cn
作者简介:邵冬玲：女,本科,主管护师,E-mail：s13868059137@126.com

Nursing care of a patient with anastomotic thrombus after parent field transplantation and underwent another allogeneic small intestine transplantation

SHAO Dongling, HUANG Xuye

Received:2023-04-06 Online:2023-09-10 Published:2023-09-21

摘要/Abstract

摘要： 总结1例亲体现场移植术后并发吻合口血栓再次行异体小肠移植患者的护理体会。针对患者手术方式难度高、病情变化复杂、术后并发症危急等问题,采取早期积极预防血管吻合口血栓、严格监测急性排斥反应、使用免疫抑制剂快速纠正、全程化实施隔离措施、预防与控制感染等措施。经过30 d的治疗及护理,患者病情稳定出院。出院后随访12个月,患者状况良好。

关键词: 肠, 小, 移植, 自体, 外科吻合口, 血栓形成, 移植物排斥

Abstract: To summarize the postoperative nursing experience of a patient with anastomotic thrombus after parent small intestine transplantation and underwent another allogeneic small intestine transplantation. In view of the difficulty of operation,complex condition changes,critical postoperative complications and other problems,we adopted early active prevention of vascular anastomotic thrombosis,strict monitoring of acute rejection,use of immunosuppressive drug to quickly correct,implementation of isolation measures throughout the process,prevention and control of infection and other measures. After 30 days of treatment and nursing,the patient's condition was stable and discharged from hospital. The patient was in good condition during 12 months of follow-up discharge.

Key words: Intestine, Small, Transplantation, Autologous, Surgical Stomas, Thrombosis, Graft Rejection

邵冬玲, 黄旭叶. 亲体现场移植术后并发吻合口血栓再次行异体小肠移植患者的护理[J]. 中华急危重症护理杂志, 2023, 4(9): 838-841.

SHAO Dongling, HUANG Xuye. Nursing care of a patient with anastomotic thrombus after parent field transplantation and underwent another allogeneic small intestine transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(9): 838-841.

参考文献

[1] Wu GS,Liu CX,Zhou XL,et al.Short-and long-term complica-tions after living donor ileal resection[J]. Am J Transplant,2022, 22(12):82.
[2] 王勉,陈冬利,吴国生,等. 小肠移植受者长期疗效影响因素及其监控防治[J]. 器官移植,2017,8(4):333-336.
Wang M,Chen DL,Wu GS,et al.Factors influencing long-term curative effect of small intestine transplantation recipients and their monitoring and prevention[J]. Organ Transplant,2017,8(4):333-336.
[3] 卢露,卢芳燕,戴燕红,等. 异体小肠移植联合腹壁移植患者的术后护理[J]. 中华急危重症护理杂志,2022,3(2):190-192.
Lu L,Lu FY,Dai YH,et al.Postoperative nursing care of a patient with allograft small bowel transplantation combined with abdominal wall transplantation[J]. Chin J Emerg Crit Care Nurs,2022,3(2):190-192.
[4] Matsumoto CS,Subramanian S,Fishbein TM.Adult intestinal transplantation[J]. Gastroenterol Clin North Am,2018,47(2):341-354.
[5] 卢露,卢芳燕,姚彩萍,等. 1例活体小肠移植术后并发血管吻合口血栓患儿的护理[J]. 中华护理杂志,2023,58(5):605-608.
Lu L,Lu FY,Yao CP,et al.Clinical analysis of a child with vascular anastomotic thrombosis after living donor small bowel transplantation[J]. Chin J Nurs,2023,58(5):605-608.
[6] 赵龙,王金海. 小肠移植进展[J]. 中华炎性肠病杂志,2022,6(1):36-41.
Zhao L,Wang JH.Progress in intestinal transplantation[J]. Chin J Inflamm Bowel Dis,2022,6(1):36-41.
[7] 吴国生,梁廷波. 自体小肠移植技术的实践与挑战[J]. 中华消化外科杂志,2021,20(1):85-88.
Wu GS,Liang TB.Current practice and challenges of intestinal autotransplantation[J]. Chin J Digest Surg,2021,20(1):85-88.
[8] Cruz RJ Jr,Garrido AG,Silva MRE.Early hemodynamics and metabolic changes after total abdominal evisceration for expe-rimental multivisceral transplantation[J]. Acta Cir Bras,2009, 24(2):156-161.
[9] 卢芳燕,汤洒潇,王燕,等. 活体小肠移植受者多学科协作护理方案的制订及应用[J]. 中华护理杂志,2021,56(2):218-224.
Lu FY,Tang SX,Wang Y,et al.Development and application of a multidisciplinary nursing program for recipients of living small bowel transplantation[J]. Chin J Nurs,2021,56(2):218-224.
[10] 柳晶晶,黄飞燕,汪彩娜,等. 14例亲缘性活体小肠移植患者术后早期并发症的护理[J]. 中华护理杂志,2021,56(9):1383-1386.
Liu JJ,Huang FY,Wang CN,et al.Nursing care of early complications in 14 cases after parental living intestine transplantation[J]. Chin J Nurs,2021,56(9):1383-1386.
[11] 中华医学会肠外肠内营养学分会. 成人围手术期营养支持指南[J]. 中华外科杂志,2016,54(9):641-657.
Parenteral and Enteral Nutrition Committee of Chinese Medi-cal Association. Guidelines for perioperative nutritional sup-port for adults[J]. Chin J Surg,2016,54(9):641-657.

[1]	柳小婷, 王萍, 徐亦虹, 范婷婷, 付真真, 熊子菡, 何蓓蕾, 陈晓晖, 章晓明, 舒妍. 巨结肠类缘病术后并发超短肠综合征伴多造口患者的护理[J]. 中华急危重症护理杂志, 2026, 7(7): 849-851.
[2]	邵丽红, 李春艳, 董晓琪, 王巧琳, 叶国凤, 赵巧梅. 口腔多原发癌患者游离皮瓣移植术后多重严重并发症的护理[J]. 中华急危重症护理杂志, 2026, 7(7): 852-855.
[3]	郭晨, 宋亚敏. 复杂心脏畸形患者术后行心脏移植的围手术期护理[J]. 中华急危重症护理杂志, 2026, 7(6): 679-681.
[4]	张慧, 何雪花, 王莉, 宫晓艳, 庄一渝. 边缘供心心脏移植术后患者原发性移植物功能障碍的早期预警与护理[J]. 中华急危重症护理杂志, 2026, 7(6): 682-684.
[5]	曾妃. 家族性肥厚型心肌病合并肝功能衰竭患者行心肝同期联合移植的护理[J]. 中华急危重症护理杂志, 2026, 7(6): 685-688.
[6]	李改乐, 潘文彦, 李菁菁, 刘霄, 唐颖嘉, 侯进. 肝移植患者术后并发耶氏肺孢子菌与巨细胞病毒感染的护理[J]. 中华急危重症护理杂志, 2026, 7(6): 710-713.
[7]	王燕, 卢芳燕, 刘元, 王芳. 进行性家族性肝内胆汁淤积症患儿行亲体肝移植的术后护理[J]. 中华急危重症护理杂志, 2026, 7(6): 714-716.
[8]	万珊珊, 陈理华, 诸纪华. 新生儿坏死性小肠结肠炎肠造口术后高流量肠瘘预防及护理的最佳证据总结[J]. 中华急危重症护理杂志, 2026, 7(5): 554-560.
[9]	颜清添, 李敏敏, 李雨欣. 先天性心脏病术后乳糜胸婴幼儿行肠内营养管理的研究进展[J]. 中华急危重症护理杂志, 2026, 7(5): 564-568.
[10]	王思思, 卞丽芳, 李琰. 胰腺癌患者行全胃全胰切除联合自体小肠移植的术后护理[J]. 中华急危重症护理杂志, 2026, 7(5): 588-590.
[11]	陈闪, 樊落, 张志刚, 樊凯盛, 刘路玲, 汪袁云子. 快速反应小组护士培训体系的构建及适用性分析[J]. 中华急危重症护理杂志, 2026, 7(4): 419-424.
[12]	邵冬玲, 王群敏. 抗凝血酶Ⅲ缺乏症患者行活体小肠移植术后反复出血的护理[J]. 中华急危重症护理杂志, 2026, 7(4): 453-455.
[13]	汤文秀, 应燕, 诸纪华, 葛红玲, 周微微. 肝脑型线粒体DNA耗竭综合征患儿行肝移植的围手术期护理[J]. 中华急危重症护理杂志, 2026, 7(4): 459-461.
[14]	肖乐乐, 肖莉, 王婧, 谢志芬, 杨柳, 刘晓兰. 回输胃液对重症患者肠内营养喂养不耐受影响的Meta分析[J]. 中华急危重症护理杂志, 2026, 7(4): 488-495.
[15]	徐雅玲, 袁静, 张玉姣, 王微娜, 应金萍. 老年肺移植并发横纹肌溶解患者行连续性肾脏替代治疗的护理[J]. 中华急危重症护理杂志, 2026, 7(3): 322-324.

亲体现场移植术后并发吻合口血栓再次行异体小肠移植患者的护理

Nursing care of a patient with anastomotic thrombus after parent field transplantation and underwent another allogeneic small intestine transplantation

PDF下载

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价