经体外膜肺氧合救治肝移植术后混合性休克患者的护理

doi:10.3761/j.issn.2096-7446.2026.02.010

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 193-196.doi: 10.3761/j.issn.2096-7446.2026.02.010

经体外膜肺氧合救治肝移植术后混合性休克患者的护理

孙婷婷(), 谷茜, 吴璟奕, 王晓丽, 王枫^*()

200025 上海市上海交通大学医学院附属瑞金医院重症医学科

收稿日期:2025-09-10 出版日期:2026-02-10 发布日期:2026-02-02
通讯作者: 王枫 E-mail:stt02k69@rjh.com.cn;wf20742@rjh.com.cn
作者简介:孙婷婷：女，本科（硕士在读），护师，E-mail：stt02k69@rjh.com.cn
基金资助:
上海交通大学医学院附属瑞金医院[RJKH（2）-2025-004]

Nursing care of a patient complicated with mixed shock after liver transplantation treated by extracorporeal membrane oxygenation

SUN Tingting(), GU Qian, WU Jingyi, WANG Xiaoli, WANG Feng^*()

Department of Intensive Care Medicine， Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine， Shanghai 200025， China

Received:2025-09-10 Online:2026-02-10 Published:2026-02-02
Contact: WANG Feng E-mail:stt02k69@rjh.com.cn;wf20742@rjh.com.cn
Supported by:
Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine [RJKH（2）-2025-004]

摘要/Abstract

摘要：

总结1例自身免疫性肝炎患者肝移植术后并发混合性休克行体外膜肺氧合治疗的护理体会。针对该患者严重混合性休克、重要脏器严重灌注不足等问题，采取目标导向的循环复苏策略、体外支持精准化管理与器官灌注优化、基于血药浓度监测的免疫治疗管理以及多维屏障构建与溯源感染防控方案等措施。患者住院第29天病情稳定转入普通病房，住院共77 d顺利出院。出院后随访1个月状况良好。

关键词: 肝移植, 休克, 体外膜氧合作用, 围手术期护理, 危重病护理

Abstract:

To summarize the nursing experience of a case of mixed shock after liver transplantation for autoimmune hepatitis treated with extracorporeal membrane oxygenation. In response to problems such as severe mixed shock and critical organ hypoperfusion，the following nursing measures were implemented，including targeted circulatory resuscitation strategies，precise management of extracorporeal support and organ perfusion optimization，immunotherapy management based on therapeutic drug monitoring，and multi-dimensional barrier construction with infection prevention and control protocols. The patient was transferred to a general ward on the 29th day of hospitalization with stable condition and was discharged smoothly after 77 days of hospitalization. The patient was in good condition during the one-month follow-up after discharge.

Key words: Liver Transplantation, Shock, Extracorporeal Membrane Oxygenation, Perioperative Nursing, Critical Care Nursing

孙婷婷, 谷茜, 吴璟奕, 王晓丽, 王枫. 经体外膜肺氧合救治肝移植术后混合性休克患者的护理[J]. 中华急危重症护理杂志, 2026, 7(2): 193-196.

SUN Tingting, GU Qian, WU Jingyi, WANG Xiaoli, WANG Feng. Nursing care of a patient complicated with mixed shock after liver transplantation treated by extracorporeal membrane oxygenation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 193-196.

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经体外膜肺氧合救治肝移植术后混合性休克患者的护理

Nursing care of a patient complicated with mixed shock after liver transplantation treated by extracorporeal membrane oxygenation

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