To summarize the postoperative nursing experience of liver transplantation in a child with congenital biliary atresia and short bowel syndrome. In view of the child's critical condition,complex surgery,inadequate compensation of the remaining bowel,low immune function and etc,important organ function monitoring was taken to report abnormal conditions timely; nutrition management program was dynamically adjusted to promote intestinal compensation; infection prevention and control measures were strictly implemented to prevent the occurrence of infection; rejection reactions were early wared and immunosuppressant was accurately used; of the drainage tubes nursing was strengthened in operative area to prevent accidental extubation; skin management was strengthened and diaper dermatitis was actively intervened; individualized family management plan was formulated to improve the quality of life of children. After 129 days of active treatment and meticulous care,the child recovered and was discharged from the hospital and followed up for 2 months,and the child was in good condition.
WANG Yan
,
LU Fangyan
,
WANG Fang
,
JIANG Shuying
,
ZHU Li
. Postoperative nursing care of a child with congenital biliary atresia and short bowel syndrome undergoing liver transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022
, 3(4)
: 351
-353
.
DOI: 10.3761/j.issn.2096-7446.2022.04.013
[1] 罗毅. 中国儿童肝移植操作规范(2019版)[J]. 中华移植杂志(电子版),2019,13(3):181-186.
Luo Y.Technical specification for pediatric liver transplantation in China(2019 edition)[J]. Chin J Transplant Electron Ed,2019,13(3):181-186.
[2] 单禹华,龙喜带,夏强. 先天性胆道闭锁最新研究进展[J]. 肝胆外科杂志,2014,22(2):154-157.
Shan YH,Long XD,Xia Q.The latest research progress on congenital biliary atresia[J]. J Hepatobiliary Surg,2014,22(2):154-157.
[3] 中国研究型医院学会加速康复外科专业委员会. 儿童肝移植围手术期管理专家共识[J]. 中华外科杂志,2021,59(3):179-191.
Enhanced Recovery After Surgery Committee of Chinese Research Hospital Association. Expert consensus of perioperative management in pediatric liver transplantation[J]. Chin J Surg,2021,59(3):179-191.
[4] 崔恒,傅巧美,周利平,等. 终末期肝病患者接受反位肝脏供体移植手术的护理[J]. 中华护理杂志,2019,54(11):1718-1721.
Cui H,Fu QM,Zhou LP,et al.Nursing experience of a liver transplantation patient using a liver from a situs inversus donor after heart death[J]. Chin J Nurs,2019,54(11):1718-1721.
[5] 孙建华,刘大为,王小亭,等. 氯己定擦浴对预防ICU患者中心静脉导管相关性血流感染的Meta分析[J]. 中华护理杂志,2016,51(2):148-154.
Sun JH,Liu DW,Wang XT,et al.Chlorhexidine body bathing to prevent central line associated blood stream infections in intensive care units:a systematic review[J]. Chin J Nurs,2016,51(2):148-154.
[6] 张琳琪,李杨,宋楠,等. 婴幼儿尿布性皮炎护理实践专家共识[J]. 中华护理杂志,2020,55(8):1169.
Zhang LQ,Li Y,Song N,et al.Expert consensus on diaper dermatitis nursing care for infants and toddlers[J]. Chin J Nurs,2020,55(8):1169.
[7] 王燕,卢芳燕,汤洒潇. 6例终末期肝病合并先天性心脏病患儿行肝移植的术后护理[J]. 中华护理杂志,2021,56(10):1544-1548.
Wang Y,Lu FY,Tang SX.Postoperative nursing care of 6 children with end-stage liver disease combined with congenital heart disease undergoing liver transplantation[J]. Chin J Nurs,2021,56(10):1544-1548.
