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
重症护理研究

胆道闭锁合并肺部感染患儿行血型不相容肝移植的护理

  • 沈丹军 ,
  • 盛美君 ,
  • 郑虹 ,
  • 叶飞亚 ,
  • 冯佳艳
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  • 310052 杭州市 国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院SICU(沈丹军,盛美君,郑虹,叶飞亚),国际医学部(冯佳艳)
沈丹军:男,本科(硕士在读),护师,E-mail:6518111@zju.edu.cn
盛美君,E-mail:smj512@zju.edu.cn

收稿日期: 2024-07-29

  网络出版日期: 2025-06-06

基金资助

浙江省教育厅一般科研项目(Y202354056)

Nursing care of a child with biliary atresia complicated with pulmonary infection undergoing blood group incompatible liver transplantation

  • SHEN Danjun ,
  • SHENG Meijun ,
  • ZHENG Hong ,
  • YE Feiya ,
  • FENG JiaYan
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Received date: 2024-07-29

  Online published: 2025-06-06

摘要

总结1例胆道闭锁合并肺部感染患儿行ABO血型不相容肝移植的护理体会。针对术前肺部感染严重,ABO血型不相容肝移植术后极易发生急性排斥反应、复杂血管并发症及感染风险等问题,采取多学科团队合作,构建全程链式管理模式,积极控制肺部感染,加强呼吸功能训练;主动降低血型抗体水平,做好预见性护理;早期序贯抗凝治疗,警惕血管并发症;高效序贯撤机治疗,做好经鼻高流量湿化氧疗的护理。通过开展儿童医疗辅导项目,缓解患儿负性情绪。经过39 d的治疗与护理,患儿顺利出院。

本文引用格式

沈丹军 , 盛美君 , 郑虹 , 叶飞亚 , 冯佳艳 . 胆道闭锁合并肺部感染患儿行血型不相容肝移植的护理[J]. 中华急危重症护理杂志, 2025 , 6(6) : 710 -712 . DOI: 10.3761/j.issn.2096-7446.2025.06.014

Abstract

To summarize the nursing experience of ABO incompatible liver transplantation in a child with biliary atresia complicated with pulmonary infection. In view of the severe pulmonary infection before surgery,ABO-incompatible liver transplantation was prone to acute rejection,complex vascular complications and infection risk,we adopted multidisciplinary collaboration to construct whole chain management mode,control lung infection actively,and strengthen respiratory function training,and reduced blood group antibody level actively and gave good predictive nursing. Early sequential anticoagulant therapy and being alert to vascular complications,high-efficient sequential weaning therapy and nasal high-flow humidified oxygen therapy nursing were implemented. We alleviated the negative emotion of the child through the medical counseling program for children. After 39 days of treatment and nursing,the child was discharged smoothly.

参考文献

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