总结1例亲体现场移植术后并发吻合口血栓再次行异体小肠移植患者的护理体会。 针对患者手术方式难度高、病情变化复杂、术后并发症危急等问题,采取早期积极预防血管吻合口血栓、严格监测急性排斥反应、使用免疫抑制剂快速纠正、全程化实施隔离措施、预防与控制感染等措施。 经过30 d的治疗及护理,患者病情稳定出院。 出院后随访12个月,患者状况良好。

To summarize the postoperative nursing experience of a patient with anastomotic thrombus after parent small intestine transplantation and underwent another allogeneic small intestine transplantation. In view of the difficulty of operation,complex condition changes,critical postoperative complications and other problems,we adopted early active prevention of vascular anastomotic thrombosis,strict monitoring of acute rejection,use of immunosuppressive drug to quickly correct,implementation of isolation measures throughout the process,prevention and control of infection and other measures. After 30 days of treatment and nursing,the patient’s condition was stable and discharged from hospital. The patient was in good condition during 12 months of follow-up discharge.