第三次复杂肝移植术后护理体会1例报告
南昌医学院第一附属医院江西省人民医院, 器官移植科, 江西南昌 330006
| 摘 要： | 肝移植是治疗终末期肝病的有效方法，而再次或多次肝移植是治疗各种原因所致移植肝功能衰竭的有效手段。再次或多次肝移植不但手术难度大，而且术后护理也面临巨大挑战，好的术后护理可明显减少患者术后并发症发生率，提高人/肝存活率。本文总结了1例肝移植术后肝功能衰竭患者行第三次复杂肝移植的护理经验。护理要点包括：严密监测病情变化；出血急救与护理；预防感染与抗排异治疗；术后预防门静脉血栓的护理；术后预防胆道并发症的护理；加强营养支持。多角度全方面的护理，确保患者术后恢复良好。本例患者经过合理治疗与护理，术后第18天顺利康复出院。本文通过分析该特殊病例护理过程，总结第三次复杂肝移植术后护理经验，为多次肝移植的临床护理工作提供相应借鉴。 |
| 关 键 词： | 肝功能衰竭; 第三次; 肝移植; 护理 |
| DOI： | 10.57237/j.nhres.2023.02.002 |
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收稿日期: 2023-04-21
接受日期: 2023-05-29
在线出版日期: 2023-06-15
Nursing Experience After the Third Complex Liver Transplantation: A Case Report
Department of Organ Transplantation, First Affiliated Hospital of Nanchang Medical College, Jiangxi Provincial People's Hospital, Nanchang 330006, China
| Abstract: | Liver transplantation is an effective method for treating end-stage liver disease, and repeated or repeated liver transplantation is an effective method for treating transplanted liver failure caused by various reasons. Repeated or repeated liver transplantation not only poses great surgical difficulties, but also poses significant challenges in postoperative care. Good postoperative care can significantly reduce the incidence of postoperative complications in patients and improve human/liver survival rate. This article summarizes the nursing experience of a patient with liver failure after liver transplantation undergoing a third complex liver transplantation. The key points of nursing include: closely monitoring changes in the condition; First aid and care for bleeding; Prevention of infection and anti rejection treatment; Postoperative nursing care to prevent portal vein thrombosis; Nursing care for postoperative ballistic complications; Strengthen nutritional support. Multi angle and comprehensive nursing to ensure postoperative rehabilitation of patients. After reasonable treatment and care, the patient in this case successfully recovered and was discharged on the 18th day after surgery. This article analyzes the nursing process of this special case and summarizes the nursing experience after the third complex liver transplantation, providing corresponding reference for clinical nursing work of multiple liver transplants. |
| Keywords: | Liver Failure; Third Time; Liver Transplantation; Nursing |
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