肝移植患儿术后并发早期肝动脉栓塞的护理

doi:10.3761/j.issn.2096-7446.2023.11.014

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (11): 1030-1032.doi: 10.3761/j.issn.2096-7446.2023.11.014

肝移植患儿术后并发早期肝动脉栓塞的护理

卢露, 卢芳燕

310003 杭州市浙江大学医学院附属第一医院肝胆胰外科及肝移植中心

收稿日期:2023-03-13 出版日期:2023-11-10 发布日期:2023-11-27
通讯作者: 卢芳燕,E-mail：2196032@zju.edu.cn
作者简介:卢露：女,本科,副主任护师,E-mail：148243728@qq.com
基金资助:
浙江省医药卫生科技计划项目（2023KY105）

Nursing of a child with early hepatic artery embolism after liver transplantation

LU Lu, LU Fangyan

Received:2023-03-13 Online:2023-11-10 Published:2023-11-27

摘要/Abstract

摘要： 总结1例肝移植患儿术后并发早期肝动脉栓塞的护理体会。针对患儿突发肝动脉栓塞,病情进展迅速,以及在治疗过程中极易发生出凝血失衡、戒断症状等问题,采取启动应急预案、实施介入术后护理、合理镇静镇痛、提供渐进式营养方案及做好延续性护理等措施。经过20 d的积极治疗和精心护理,患儿病情好转顺利转入普通病房。术后第32天出院,随访2个月,患儿状况良好。

关键词: 肝移植, 血栓栓塞, 围手术期护理, 儿科护理学

Abstract: To summarize the nursing experience of a child complicated by early hepatic artery embolism after liver transplantation. In view of the sudden hepatic artery embolism,the rapid progression of the disease,and the problems of coagulation imbalance and withdrawal symptoms that were very easy to occur during the treatment process,measures such as activating emergency plans,implementing interventional postoperative care,reasonable sedation and analgesia,providing progressive nutrition programs and continuous nursing were adopted. After 20 days of active treatment and meticulous nursing,the child's condition improved and he was successfully transferred to the general ward. The child was discharged from the hospital on the 32nd day after surgery,and he was in good condition during 2 months of followed up.

Key words: Liver Transplantation, Thromboembolism, Perioperative Nursing, Pediatric Nursing

卢露, 卢芳燕. 肝移植患儿术后并发早期肝动脉栓塞的护理[J]. 中华急危重症护理杂志, 2023, 4(11): 1030-1032.

LU Lu, LU Fangyan. Nursing of a child with early hepatic artery embolism after liver transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(11): 1030-1032.

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肝移植患儿术后并发早期肝动脉栓塞的护理

Nursing of a child with early hepatic artery embolism after liver transplantation

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