家族性肥厚型心肌病合并肝功能衰竭患者行心肝同期联合移植的护理

doi:10.3761/j.issn.2096-7446.2026.06.008

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (6): 685-688.doi: 10.3761/j.issn.2096-7446.2026.06.008

• 心脏手术康复护理专题 • 上一篇下一篇

家族性肥厚型心肌病合并肝功能衰竭患者行心肝同期联合移植的护理

曾妃^*()

浙江大学医学院附属第二医院护理部杭州市 310000

收稿日期:2025-09-20 出版日期:2026-06-10 发布日期:2026-06-02
通讯作者: 曾妃 E-mail:zengfei@zju.edu.cn
作者简介:^*曾妃：女，硕士，主任护师，E-mail：zengfei@zju.edu.cn
第一联系人：作者贡献声明
曾妃：文章构思、撰写与修订、文献检索、论文修改

Nursing care of a patient with familial hypertrophic cardiomyopathy complicated with liver failure undergoing simultaneous heart-liver transplantation

ZENG Fei^*()

Department of Nursing， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China

Received:2025-09-20 Online:2026-06-10 Published:2026-06-02
Contact: ZENG Fei E-mail:zengfei@zju.edu.cn

摘要/Abstract

摘要：

总结1例家族性肥厚型心肌病合并肝衰竭患者接受心肝同期联合移植的护理体会。针对围手术期凝血功能的动态转变、多器官间的交互影响、免疫抑制管理，以及移植器官功能延迟恢复等复杂问题，采取了凝血功能观察与继发性神经系统并发症护理、体外循环—体外膜肺氧合过渡管理、最小有效潮气量的精细化滴定与监测、移植器官功能延迟恢复的管理、免疫抑制平衡与监护、以腹内压为导向的营养支持等措施。经过34 d的精细化护理，患者成功转出ICU并康复出院。

关键词: 心肌病，肥厚型，家族性, 心肝联合移植, 危重病护理

Abstract:

To summarize the nursing experience of a patient with familial hypertrophic cardiomyopathy complicated with liver failure undergoing combined heart-liver transplantation. To address complex challenges such as dynamic changes in perioperative coagulation function，inter-organ interactions，immunosuppression management，and delayed functional recovery of combined transplanted organs，the following measures were implemented：coagulation function monitoring and nursing care for secondary neurological complications，management of transition from extracorporeal circulation to extracorporeal membrane oxygenation，precise titration and monitoring of minimal effective tidal volume，management of delayed functional recovery in transplanted organs，balance and meticulous monitoring of immunosuppression，and precision nutritional support guided by intra-abdominal pressure. After 34 days of intensive care，the patient was successfully transferred out of the ICU and discharged after recovery.

Key words: Cardiomyopathy，Hypertrophic，Familial, Combined Heart-Liver Transplantation, Critical Care Nursing

曾妃. 家族性肥厚型心肌病合并肝功能衰竭患者行心肝同期联合移植的护理[J]. 中华急危重症护理杂志, 2026, 7(6): 685-688.

ZENG Fei. Nursing care of a patient with familial hypertrophic cardiomyopathy complicated with liver failure undergoing simultaneous heart-liver transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 685-688.

参考文献 8

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家族性肥厚型心肌病合并肝功能衰竭患者行心肝同期联合移植的护理

Nursing care of a patient with familial hypertrophic cardiomyopathy complicated with liver failure undergoing simultaneous heart-liver transplantation

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