6例终末期肝病合并先天性心脏病患儿行肝移植的术后护理

doi:10.3761/j.issn.0254-1769.2021.10.017

摘要/Abstract

摘要：

总结6例终末期肝病合并先天性心脏病患儿行肝移植的术后护理经验。护理要点包括:严格落实感染防控措施,预防肺部感染;精细化的液体管理,谨防心功能衰竭;制订合理的营养方案,满足机体的需求;严格执行抗凝治疗,预防血管并发症;准确服用免疫抑制剂,预防急性排斥反应;重视心理护理,减少患儿负性情绪;信息化的随访管理,追踪出院后病情变化。经过精心的护理,6例患儿术后均康复出院,随访1~6个月,预后良好。

关键词: 先天性心脏病, 肝移植, 儿科护理学, 围手术期护理

Abstract:

This study summarized the postoperative nursing experience of 6 children suffered from end-stage liver disease with congenital heart disease undergoing liver transplantation. The key points of nursing care include:the strict implementation of prevention and control measures to prevent pulmonary infection;the refined fluid management to prevent heart failure;the formulation of a reasonable nutrition plan to meet the needs of the body;the strict implementation of anticoagulation therapy to prevent vascular complications;the accurate use of immunosuppressive agents to prevent acute rejection;the attention to psychological care to reduce negative emotions in children and information-based follow-up management to track the changes in patients’ condition after discharge from the hospital.With our careful care,all of the 6 patients recovered well and were discharged after the operation,and the prognosis shows good with the follow-up of 1~6months.

Key words: Congenital Heart Disease, Liver Transplantation, Pediatric Nursing, Perioperative Nursing

王燕, 卢芳燕, 汤洒潇. 6例终末期肝病合并先天性心脏病患儿行肝移植的术后护理[J]. 中华护理杂志, 2021, 56(10): 1544-1547.

WANG Yan, LU Fangyan, TANG Saxiao. Postoperative nursing care of 6 children with end-stage liver disease combined with congenital heart disease undergoing liver transplantation[J]. Chinese Journal of Nursing, 2021, 56(10): 1544-1547.

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