边缘供心心脏移植术后患者原发性移植物功能障碍的早期预警与护理

doi:10.3761/j.issn.2096-7446.2026.06.007

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (6): 682-684.doi: 10.3761/j.issn.2096-7446.2026.06.007

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Early warning and nursing intervention for primary graft dysfunction after heart transplantation using a marginal donor heart：a case report

ZHANG Hui(), HE Xuehua, WANG Li, GONG Xiaoyan, ZHUANG Yiyu^*()

Nursing Department， Sir Run Run Shaw Hospital，Zhejiang University School of Medicine， Hangzhou 310000， China

Received:2025-09-14 Online:2026-06-10 Published:2026-06-02
Contact: ZHUANG Yiyu E-mail:2611136@zju.edu.cn;zhuangyy@zju.edu.cn
Supported by:
Sustainable Development of Hospitals in Zhejiang Province-Yangtze River Research Project(2024ZHA-YZJ210)

Abstract

Abstract:

This report summarized the nursing experience of a patient who developed primary graft dysfunction （PGD） after heart transplantation using a marginal donor heart. Key nursing interventions included the implementation of a nurse-led early warning system based on the characteristics of the marginal donor heart，the rapid initiation of veno-arterial extracorporeal membrane oxygenation（VA-ECMO） combined with continuous renal replacement therapy（CRRT），the execution of phased and precise volumetric titration management according to dynamic hemodynamic assessments，and the implementation of a right heart-protective ventilation strategy guided by bedside electrical impedance tomography（EIT）-based visualization monitoring. The patient was successfully transferred out of the intensive care unit on postoperative day 16 and discharged on day 22.

Key words: Extracorporeal Membrane Oxygenation, Marginal Donor, Primary Graft Dysfunction, Heart Transplantation, Critical Care Nursing

ZHANG Hui, HE Xuehua, WANG Li, GONG Xiaoyan, ZHUANG Yiyu. Early warning and nursing intervention for primary graft dysfunction after heart transplantation using a marginal donor heart：a case report[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 682-684.

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Early warning and nursing intervention for primary graft dysfunction after heart transplantation using a marginal donor heart：a case report

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