肝肾联合移植术的护理13例

目的探讨肝肾联合移植手术的护理方法、要点及效果。方法回顾性分析1996—2004年13例肝肾联合移植手术期间的护理，总结术中的护理特点、出入量的管理、药物的使用情况等。结果术中护理得当，无任何护理缺陷，手术总耗时平均9．5h，无肝期平均为65min，失血量平均达7000ml。结论充分的术前准备，术中保持体温的稳定，及时准确应用各类药物和恰当的输液输血．是提高手术效率及保证手术顺利进行的护理措施。

Nursing about 13 patients who have accepted the conjoint liver and kidney transplantation

Objective To investigate the nursing points and the effect of the conjoint liver and kindey transplantation. Methods To review the concreted nursing experience among 13 patients who have accepted the conjoint liver and kidney transplantation from 1996 to 2004 in the First Affiliated Hospital of Sun Yat-Sen University, and then summarized the nursing key points of the operation. Results All the nursing messures during the course of operation were properly, the means time of operation was 9.5 hours, the means time of liverless was 65 minutes, the blood loss volume was 7 000 ml. Conclusion The nursing key points of conjoint liver and kidney transplantation include sufficient nursing prepare, homoiothermism during the operation, proper using drugs, proper blood - transfusion and fluid infusion.