骨髓移植后闭塞性细支气管炎患儿行肺移植的护理

doi:10.3761/j.issn.2096-7446.2023.04.007

Abstract

Abstract: To summarize the nursing experience of lung transplantation in a child with bronchiolitis obliterans after bone marrow transplantation. Individualized children pulmonary rehabilitation nursing was taken for the patient's young age,complex disease,two transplants,insufficient engagement for cooperation,etc. That included game-style and reward-based respiratory exercises,modified prone ventilation,step-by-step exercise sequential nutritional support and psychological nursing. After 120 days of treatment and nursing,the patient was discharged from the hospital in a stable condition. The child recovered well during two months follow-up.

Key words: Child, Lung Transplantation, Bone Marrow Transplantation, Bronchiolitis Obliterans, Pulmonary Rehabilitation, Critical Care Nursing

GAO Guanpeng, ZENG Fei. Nursing care of a child with bronchiolitis obliterans after bone marrow transplantation undergoing lung transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(4): 325-327.

References

[1] Kim KH,Lee J,Kim HJ,et al.Efficacy and safety of high-dose budesonide/formoterol in patients with bronchiolitis obliterans syndrome after allogeneic hematopoietic stem cell transplant[J]. J Thorac Dis,2020,12(8):4183-4195.
[2] Vieira AG,Funke VAM,Nunes EC,et al.Bronchiolitis obliterans in patients undergoing allogeneic hematopoietic SCT[J]. Bone Marrow Transplant,2014,49(6):812-817.
[3] 蒋华驰,刘峰,郑明峰,等. 再次肺移植治疗肺移植术后闭塞性细支气管炎综合征[J]. 中华移植杂志(电子版),2017,11(4):221-224.
Jiang HC,Liu F,Zheng MF,et al.Lung retransplantation for bronchiolitis obliterans syndrome after primary lung transplantation[J]. Chin J Transplant Electron Ed,2017,11(4):221-224.
[4] 李慧星,毛文君. 儿童肺移植临床研究进展[J]. 器官移植,2022,13(3):344-348.
Li HX,Mao WJ.Clinical research progress on pediatric lung transplantation[J]. Organ Transplant,2022,13(3):344-348.
[5] 卢桂珍. 无创呼吸机在肺移植术后应用及护理效果[J]. 中国现代药物应用,2018,12(16):170-172.
Lu GZ.Application and nursing effect of non-invasive ventilator after lung transplantation[J]. Chin J Mod Drug Appl,2018, 12(16):170-172.
[6] 陈能辉. 俯卧位机械通气在儿童重症肺炎治疗中的应用效果[J]. 中国当代医药,2020,27(13):77-79.
Chen NH.Effect of prone mechanical ventilation in the treatment of severe pneumonia in children[J].Chin J Mod Med,2020,27(13):77-79.
[7] World Health Organization. Guidelines on physical activity,sedentary behavior and sleep for children under 5 years of age[EB/OL]. (2019-07-18)[2022-06-01]. https//apps.who.int/iris/handle/10665/311664.
[8] 曾妃,梁江淑渊,王智,等. 双肺移植术后患者的早期肺康复护理[J]. 护理学杂志,2020,35(19):98-100.
Zeng F,Liang JSY,Wang Z,et al.Early pulmonary rehabilitation care for patients after double lung transplantation[J]. J Nurs Sci,2020,35(19):98-100.
[9] Tian JX,Zhang P,Miao WJ,et al.Tacrolimus levels in the prophylaxis of acute graft-versus-host disease in the Chinese early after hematopoietic stem cell transplantation[J]. Ther Drug Monit,2019,41(5):620-627.
[10] 陈文倩,张雷,张弋,等. 实体器官移植他克莫司个体化治疗专家共识[J]. 中国医院用药评价与分析,2021,21(12):1409-1424.
Chen WQ,Zhang L,Zhang Y,et al.Expert consensus on individual treatment of tacrolimusin solid organ transplantation[J]. Eval Anal Drug Use Hosp China,2021,21(12):1409-1424.
[11] 李姗,章萍,廖应熙,等. 他克莫司致癫痫1例[J]. 中国药物应用与监测,2021,18(3):210-212.
Li S,Zhang P,Liao YX,et al.One case of epilepsy induced by tacrolimus[J]. Chin J Drug Appl Monit,2021,18(3);210-212.
[12] Bear DE,Wandrag L,Merriweather JL,et al.The role of nutritional support in the physical and functional recovery of critically ill patients:a narrative review[J]. Crit Care,2017,21(1):226.
[13] 彭复聪,胡树菁,刘红霞,等. 肺移植受者真实体验的质性研究[J]. 解放军护理杂志,2022,39(6):52-59.
Peng FC,Hu SJ,Liu HX,et al.Qualitative study on real experience in lung transplant recipients[J]. Nurs J Chin PLA,2022,39(6):52-59.

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Nursing care of a child with bronchiolitis obliterans after bone marrow transplantation undergoing lung transplantation

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