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

抗黑色素瘤分化相关基因5抗体阳性皮肌炎患者行肺移植的术后护理

  • 唐晶 ,
  • 昝涛 ,
  • 关宝兴 ,
  • 徐艺纯 ,
  • 初喆
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  • 130021 长春市 吉林大学第一医院重症医学科(唐晶,昝涛,关宝兴,徐艺纯),急诊科(初喆)
唐晶:女,硕士,副主任护师,E-mail:tangjing222333@jlu.edu.cn

收稿日期: 2024-10-21

  网络出版日期: 2025-07-04

Postoperative nursing of patients with anti-melanoma differentiation-associated gene 5 antibody positive dermatomyositis undergoing lung transplantation

  • TANG Jing ,
  • ZAN Tao ,
  • GUAN Baoxing ,
  • XU Yichun ,
  • CHU Zhe
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Received date: 2024-10-21

  Online published: 2025-07-04

摘要

总结2例抗黑色素瘤分化相关基因5抗体阳性皮肌炎患者行肺移植的术后护理体会。针对该患者肺移植术后易出现感染加重、原发性移植物功能丧失和心血管并发症等问题,采取多方位感染防控、并发症预防和管理、早期康复锻炼、原发病与抗排异药物副作用监测等多项针对性护理措施。经过精心治疗与护理,2例患者病情稳定后均转入普通病房。转出ICU后2个月进行随访,患者状况良好。

本文引用格式

唐晶 , 昝涛 , 关宝兴 , 徐艺纯 , 初喆 . 抗黑色素瘤分化相关基因5抗体阳性皮肌炎患者行肺移植的术后护理[J]. 中华急危重症护理杂志, 2025 , 6(7) : 856 -858 . DOI: 10.3761/j.issn.2096-7446.2025.07.016

Abstract

To summarize the postoperative nursing experience of two patients with anti-melanoma differentiation-associated gene 5 antibody-positive dermatomyositis(MDA5-DM) who underwent lung transplantation. To address the problems of infection exacerbation,primary graft dysfunction and cardiovascular complications which were likely to occur after lung transplantation in these patients with anti-MDA5-DM,a number of targeted nursing measures were taken,including multifaceted infection prevention and control,prevention and management of complications,early rehabilitation and exercise,and monitoring of the primary disease and the side effects of immunosppressive drugs. After careful treatment and nursing care,both patients were transferred to the general ward after their conditions were stabilized. A follow-up conducted 2 months after ICU discharge showed patients were in good condition.

参考文献

[1] 卢昕, 彭清林, 舒晓明, 等. 抗黑色素瘤分化相关基因5抗体阳性皮肌炎诊疗中国专家共识(2023版)[J]. 中华风湿病学杂志, 2024, 28(1):5-14.
  Lu X, Peng QL, Shu XM, et al. Chinese expert consensus on the diagnosis and management of anti-MDA5 antibody positive dermatomyositis[J]. Chin J Rheumatol, 2024, 28(1):5-14.
[2] You HX, Wang L, Wang JJ, et al. Time-dependent changes in RPILD and mortality risk in anti-MDA5+DM patients:a cohort study of 272 cases in China[J]. Rheumatology, 2023, 62(3):1216-1226.
[3] 曾妃, 兰美娟, 梁江淑渊, 等. 肺移植患者术后肺康复护理专家共识[J]. 中华护理杂志, 2024, 59(1):10-15.
  Zeng F, Lan MJ, Liang JSY, et al. Expert consensus on posto-perative pulmonary rehabilitation in lung transplant patients[J]. Chin J Nurs, 2024, 59(1):10-15.
[4] Allenbach Y, Uzunhan Y, Toquet S, et al. Different phenotypes in dermatomyositis associated with anti-MDA5 antibody:Study of 121 cases[J]. Neurology, 2020, 95(1):e70-e78.
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