总结1例自体肺移植术后继发支气管胸膜瘘患者的护理体会。针对患者自体肺移植术后极易出现支气管胸膜瘘严重并发症,缺乏循证护理方案等问题,术前开展支气管胸膜瘘高风险筛查并组建多学科小组;术后继发支气管胸膜瘘实施早期预警;制订目标性气道管理计划、精准控制血糖波动范围,建立以目标为导向的综合化营养管理等一系列围手术期护理;实施个性化心理支持与疏导。经过29 d积极治疗和护理,患者顺利出院。
To summarize the nursing experience of a patient with secondary bronchopleural fistula（BPF） after autologous lung transplantation. In view of the problems of severe complications of bronchopleural fistula after autologous lung transplantation and lack of evidence based nursing plan,the high risk screening of BPF before operation and the establishment of a multidisciplinary team were adopted. Early warning of secondary BPF after surgery should be implemented. A series of perioperative targeted nursing care were established,such as targeted airway management plan,precise control of blood glucose fluctuation range,and goal-oriented integrated nutrition management. Individualized psychological support and counseling were implemented. After 29 days of active treatment and nursing,the patient was discharged smoothly.
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