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

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (6): 697-699.doi: 10.3761/j.issn.2096-7446.2025.06.010

• 急症护理研究 • 上一篇    下一篇

肺移植术后并发急性肢体缺血患者的护理

卢露(), 卢芳燕(), 朱莉   

  1. 310003 杭州市 浙江大学医学院附属第一医院护理部
  • 收稿日期:2024-11-20 出版日期:2025-06-10 发布日期:2025-06-06
  • 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，副护士长，E-mail：148243728@qq.com
  • 基金资助:
    浙江省教育厅一般科研项目(Y202353874)

Nursing of a patient complicated by acute limb ischemia after lung transplantation

LU Lu(), LU Fangyan(), ZHU Li   

  • Received:2024-11-20 Online:2025-06-10 Published:2025-06-06

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摘要：

总结1例肺移植术后患者因急性右侧髂动脉血栓形成导致肢体缺血的护理体会。针对患者病情复杂、循环不稳定及活动耐力差等问题，采取肺移植术后急性肢体缺血的早期预警，平衡抗凝机制做好髂动脉取血栓术后护理，快速启动心律失常急救，落实多元化康复训练，促进肠功能恢复等措施。经过多学科团队救治和精细化护理，患者肺移植术后第42天从监护室转入普通病房。随访2个月，状况良好。

关键词: 肺移植, 肢体缺血, 手术后护理, 危重病护理

Abstract:

To summarize the nursing experience of a patient with acute limb ischemia due to acute right iliac artery thrombosis after lung transplantation. In view of the problems of complex conditions，circulation instability and poor activity endurance of patients，early warning of acute limb ischemia after lung transplantation was adopted，interventional postoperative care was balanced with anticoagulation mechanism，first aid for arrhythmia was quickly started，diversified rehabilitation training was implemented，intestinal function recovery was promoted. After the treatment and meticulous care of the multidisciplinary team，the patient was transferred from the intensive care unit to the general ward 42 days after lung transplantation. After 2 months of follow-up，he was in good condition.

Key words: Lung Transplantation, Limb Ischemia, Postoperative Care, Critical Care Nursing