[1]刘莹,崔亚娟,李京,等.一例多囊肝患者行肝移植术后并发呼吸衰竭及移植肝功能不全的护理[J].军事护理,2023,40(02):110-112.[doi:10.3969/j.issn.2097-1826.2023.02.027]
　LIU Ying,CUI Yajuan,LI Jing,et al.Nursing Care of A Polycystic Liver Patient with Liver Transplantation Complicated with Respiratory Failure and Transplanted Liver Insufficiency[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(02):110-112.[doi:10.3969/j.issn.2097-1826.2023.02.027]
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一例多囊肝患者行肝移植术后并发呼吸衰竭及移植肝功能不全的护理
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年02期
页码:
110-112
栏目:
病例报告
出版日期:
2023-02-15

文章信息/Info

Title:
Nursing Care of A Polycystic Liver Patient with Liver Transplantation Complicated with Respiratory Failure and Transplanted Liver Insufficiency
文章编号:
2097-1826(2023)02-0110-03
作者:
刘莹; 崔亚娟; 李京; 于颖
(吉林大学第一医院 肝胆胰外一科,吉林 长春 130000)
Author(s):
LIU Ying; CUI Yajuan; LI Jing; YU Ying
(Department of Hepatobiliary Pancreatic Surgery,the First Hospital of Jilin University,Changchun 130000,Jilin Province,China)
关键词:
多囊肝;  肝移植;  移植肝功能不全;  呼吸衰竭;  护理
Keywords:
polycystic liver disease;  liver transplantation;  transplanted liver insufficiency;  respiratory failure;  nursing
分类号:
R473.57
DOI:
10.3969/j.issn.2097-1826.2023.02.027
文献标志码:
A
摘要:
总结1例多囊肝患者行肝移植术后并发呼吸衰竭及移植肝功能不全的护理经验,主要包括:经鼻高流量氧疗结合呼吸肌功能锻炼,改善肺功能; 制定有针对性的运动治疗方案,促进肺康复; 实施精准的人工肝支持治疗,期间做好凝血功能观察,落实出血防范措施; 免疫抑制剂的精准化管理,加速肝功能恢复; 加强营养支持,提高机体状态; 药物联合负性情绪管理策略,改善焦虑及失眠。经过21 d的诊疗与护理后,患者康复出院。
Abstract:
To summarize the nursing experience of a patient with polycystic liver disease complicated with respiratory failure and transplanted liver insufficiency after liver transplantation.Key points of nursing included:nasal high flow oxygen therapy combined with respiratory muscle function exercise for lung function improvement; exercise protocol for lung rehabilitation; accurate artificial liver support treatment with coagulation function observation and bleeding prevention; precise management of immunosuppressants for liver function recovery; nutrition support for better body condition; and drugs combined with negative emotion management strategies for anxiety and insomnia improvement.After 21 days of diagnosis,treatment and nursing,the patient recovered and left the hospital.

参考文献/References:

[1] GEVERS T J G,DRENTH J P H.Diagnosis and management of polycystic liver disease[J].Nat Rev Gastroenterol Hepatol,2013,10(2):101-108.
[2] PRODROMIDOU A,MACHAIRAS N,GAROUFALIA Z,et al.Liver transplantation for giant hepatic hemangioma:a systematic review[J].Transplant Proc,2019,51(2):440-442.
[3] 赵焰,胡海华,张莉.呼吸操在慢性阻塞性肺疾病患者中应用效果的Meta分析[J].解放军护理杂志,2019,36(1):32-37.
[4] 沈鸣雁,鲁剑芳,金亚仙,等.1例肝移植术后门静脉血栓形成继发肝衰竭患者的护理[J].中华护理杂志,2020,55(12):1855-1858.
[5] 中华医学会器官移植学分会.中国肝移植免疫抑制治疗与排斥反应诊疗规范(2019版)[J].中华移植杂志,2019,13(4):262-268.
[6] 尚昀晛,韩雪莉,曾巧玲,等.1例门腔静脉半转位肝移植术后患者并发胆漏及十二指肠漏的护理[J].中华护理杂志,2021,56(2):260-264.

备注/Memo

备注/Memo:
【 收稿日期 】 2022-06-01 【 修回日期 】 2022-11-25
【 作者简介 】 刘莹,硕士,主管护师,电话:0431-81875161
【 通信作者 】 于颖,电话:0431-81875161
更新日期/Last Update: 2023-02-15