Chinese Journal of Emergency and Critical Care Nursing >
Postoperative nursing of a patient with type Ⅱ Abernethy malformation complicated with pulmonary hypertension undergoing liver transplantation
To summarize the nursing experience associated with managing a patient diagnosed with type II Abernethy malformation complicated with pulmonary hypertension，who underwent liver transplantation followed by veno-arterial extracorporeal membrane oxygenation（VA-ECMO）. Based on the pathological and physiological characteristics of pulmonary hypertension following liver transplantation，analgesia and sedation was adopted to protect the organs. The targeted medications in conjunction with ECMO was used to reduce pulmonary artery pressure and improve right heart function. Monitoring oxygenation during ECMO operation along with anticoagulation management and prevention of complications such as lower limb ischemia，individualized fluid therapy to avoid new liver reperfusion syndrome were also implemented. Through meticulous nursing care and multidisciplinary collaboration，the patient successfully recovered and was discharged.
SHEN Xiaomin , HE Wenjing , YANG Tongnan , WANG Dandan , ZHAO Wenjing . Postoperative nursing of a patient with type Ⅱ Abernethy malformation complicated with pulmonary hypertension undergoing liver transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(5) : 579 -581 . DOI: 10.3761/j.issn.2096-7446.2025.05.013
| [1] | 白婷婷, 陈东风, 罗文雯. Abernethy畸形患者临床特征的研究现状[J]. 胃肠病学和肝病学杂志, 2023, 32(7):837-840. |
| Bai TT, Chen DF, Luo WW. Research status on clinical fea-tures of Abernethy malformation[J]. Chin J Gastroenterol Hepa-tol, 2023, 32(7):837-840. | |
| [2] | 姚鑫, 廖锦元. 儿童Abernethy畸形Ⅰb型多层螺旋CT表现一例[J]. 中华放射学杂志, 2021, 55(1):76-77. |
| Yao X, Liao JY. Multislice CT findings of type Ib Abernethy malformation in a child[J]. Chin J Radiol, 2021, 55(1):76-77. | |
| [3] | 王卫利, 刘懿禾, 高思楠, 等. 重度门静脉性肺动脉高压患者肝移植一例[J]. 中华器官移植杂志, 2021, 42(1):52-53. |
| Wang WL, Liu YH, Gao SN, et al. A case of liver transplan-tation in a patient with severe portopulmonary hypertension[J]. Chin J Organ Transplant, 2021, 42(1):52-53. | |
| [4] | 王文静, 郭波, 吕毅, 等. 目标导向液体治疗在肝移植术后液体管理中的应用[J]. 中华肝脏外科手术学电子杂志, 2017, 6(4):275-279. |
| Wang WJ, Guo B, Lü Y, et al. Application of goal-directed fluid therapy in fluid management after liver transplantation[J]. Chin J Hepatic Surg Electron Ed, 2017, 6(4):275-279. | |
| [5] | 朱英, 王小亭, 胡炜. 重症超声引领体外膜肺氧合从技术迈向精准管理[J]. 中华内科杂志, 2020, 59(6):414-418. |
| Zhu Y, Wang XT, Hu W. Critical care ultrasound:guiding extracorporeal membrane oxygenation from a technique to pre-cise management[J]. Chin J Intern Med, 2020, 59(6):414-418. | |
| [6] | 程捷, 陆丽娟, 何细飞. 体外膜氧合辅助治疗并发症及护理的研究进展[J]. 中国体外循环杂志, 2024, 22(2):165-168. |
| Cheng J, Lu LF, He XF. Research progress on complications and nursing care in extracorporeal membrane oxygenation support therapy[J]. Chin J Extracorpor Circ, 2024, 22(2):165-168. | |
| [7] | 中华医学会器官移植学分会围手术期管理学组. 成人肝移植受者围术期凝血功能管理专家共识(2021版)[J]. 实用器官移植电子杂志, 2021, 9(2):89-94. |
| Perioperative Management Group of Organ Transplantation Branch of Chinese Medical Association. Expert consensus on coagulation function management in adult liver transplant recipients during the perioperative period(2021 edition)[J]. Pract J Organ Transplant Electron Version, 2021, 9(2):89-94. | |
| [8] | 盖玉彪, 郭小靖, 辛晨, 等. ECMO快速反应团队的建立和管理实践[J]. 中华危重病急救医学, 2021, 33(3):349-351. |
| Gai YB, Guo XJ, Xin C, et al. Establishment and management pra-ctice of an ECMO rapid response team[J]. Chin J Crit Care Med, 2021, 33(3):349-351. |
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