ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (5): 576-578.doi: 10.3761/j.issn.2096-7446.2025.05.012

• 重症护理研究 • 上一篇    下一篇

肾移植相关血栓性微血管疾病患者的护理

杨蕊(), 李冰玉(), 李鹭   

  1. 450016 郑州市第七人民医院肾移植肾脏病诊疗中心
  • 收稿日期:2024-06-24 出版日期:2025-05-10 发布日期:2025-04-28
  • 通讯作者: 李冰玉,E-mail:ky13140023703@126.com
  • 作者简介:杨蕊:女,本科,主管护师,E-mail:18530048501@163.com

Nursing of a patient with thrombotic microangiopathy after renal transplantation

YANG Rui(), LI Bingyu(), LI Lu   

  • Received:2024-06-24 Online:2025-05-10 Published:2025-04-28

摘要:

总结1例肾移植相关血栓性微血管疾病患者的护理体会。针对患者出现微血管性溶血性贫血、血小板减少、肾损伤导致无尿等症状,采取多系统监测高危因素、遵医嘱动态调整免疫抑制治疗、维持安全血液净化、出血风险防范、感染管理、心理干预、营养支持和康复指导等护理措施。经过45 d的治疗与护理,患者好转出院。出院后随访2周,患者恢复良好。

关键词: 肾移植, 血栓性微血管病, 并发症, 危重病护理

Abstract:

This study summarized the nursing experience of a patient with thrombotic microangiopathy following renal transplantation. The patient presented with symptoms including microvascular hemolytic anemia,thrombocytopenia,and anuria due to kidney damage. Nursing measures were implemented,which included multi-system monitoring of high-risk factors,dynamic adjustments to immunosuppressive treatment,maintenance of safe blood purification,prevention of bleeding risks,infection management,psychological interventions,and nutritional support,along with rehabilitation guidance. After 45 days of treatment and care,the patient was discharged. A follow-up conducted two weeks post-discharge indicated that the patient had recovered well.

Key words: Kidney Transplantation, Thrombotic Microangiopathy, Complications, Critical Care Nursing