| 1例肝肺联合移植术后患者的护理 |
| |
| 引用本文： | 曾妃,梁江淑渊,兰美娟. 1例肝肺联合移植术后患者的护理[J]. 中华护理杂志, 2021, 56(10): 1540-1543. DOI: 10.3761/j.issn.0254-1769.2021.10.016 |
| |
| 作者姓名： | 曾妃 梁江淑渊 兰美娟 |
| |
| 作者单位： | 310000 杭州市 浙江大学医学院附属第二医院ICU（曾妃,梁红淑渊）,护理部（兰美娟） |
| |
| 基金项目： | 浙江省医药卫生科技计划项目(2021KY713) |
| |
| 摘 要： | 总结1例肝肺联合移植术后患者的护理经验。护理要点:通过目标导向液体管理,采取限制性补液策略,维持容量负平衡;渐进式、个体化康复训练,促进早期康复;严密监测移植肝和移植肺功能,警惕排斥反应;精准化抗排异药物护理,准确监测血药浓度;多模式联合镇痛控制疼痛;严密监测并发症;为患者提供人文化关怀和心理支持。患者术后26 d顺利出院,恢复良好。
|
| 关 键 词： | 肝肺联合移植术 间质性肺纤维化 肝硬化 护理 |
| 收稿时间： | 2021-04-13 |
Nursing care of 1 patient after combined liver and lung transplantation |
| |
| ZENG Fei,LIANG Jiangshuyuan,LAN Meijuan. Nursing care of 1 patient after combined liver and lung transplantation[J]. Chinese Journal of Nursing, 2021, 56(10): 1540-1543. DOI: 10.3761/j.issn.0254-1769.2021.10.016 |
| |
| Authors: | ZENG Fei LIANG Jiangshuyuan LAN Meijuan |
| |
| Abstract: | To summarize the nursing care of a patient after combined liver and lung transplantation. Key points of nursing care:through target-based fluid management,restrictive rehydration strategies were adopted to maintain negative volume balance;progressive and individualized rehabilitation training were taken to promote early rehabilitation;closely monitored the function of transplanted liver and lung;precise anti-rejection medicine nursing care;multi-mode combined analgesia to control pain;closely monitored complications and provided patients with humanistic care and psychological support. The patient was discharged from the hospital 26 days after surgery and recovered well |
| |
| Keywords: | Combined Liver-Lung Transplantation Interstitial Pulmonary Fibrosis Cirrhosis Nursing Care |
|
| 点击此处可从《中华护理杂志》浏览原始摘要信息 |
|
点击此处可从《中华护理杂志》下载全文 |
|
