关键词: 肺移植, 吻合口狭窄, 多学科协作, 危重病护理

Abstract: The experience of multidisciplinary collaborative care in four lung transplant patients complicated with bronchial anastomotic stenosis was summarized. In response to the problems that bronchoscopy has many critical and emergent complications,recurrent episodes of hypoxemia,lack of self-symptom monitoring ability,and lack of rehabilitation continuity,we set up multidisciplinary collaborative management team,formulated perioperative safety care plan of bronchoscopy,precisely implemented individualized oxygen therapy strategy,provided self-symptom monitoring and rehabilitation exercise in case management mode. Four patients were treated by bronchoscopy and carefully cared,and followed up for 6 to 12 months. The transplanted lung functioned well,and the patients per-formed 6-minute walk test with more than 300 m,and average score of Karnofsky functional status scale was 90 points.

Key words: Lung Transplantation, Anastomotic Stenosis, Multidisciplinary Collaboration, Critical Care Nursing