1例双肺移植术后患者并发特发性高氨血症的护理

doi:10.3761/j.issn.0254-1769.2022.21.012

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (21): 2635-2638.DOI: 10.3761/j.issn.0254-1769.2022.21.012

1例双肺移植术后患者并发特发性高氨血症的护理

曾妃(), 梁江淑渊, 兰美娟(), 林闰麒

310000 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2021-11-22 出版日期:2022-11-10 发布日期:2022-10-27
通讯作者: 兰美娟，E-mail：lanmj@zju.edu.cn
作者简介:曾妃：女，本科（硕士在读），副主任护师，科护士长，E-mail：zengfei@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目(2021KY713);浙江省医药卫生科技计划项目(2021KY169)

Nursing care of a patient complicated with idiopathic hyperammonemia after double lung transplantation

ZENG Fei(), LIANG Jiangshuyuan, LAN Meijuan(), LIN Runqi

Received:2021-11-22 Online:2022-11-10 Published:2022-10-27

摘要/Abstract

摘要：

总结1例双肺移植术后并发特发性高氨血症患者的护理经验。护理要点：肺移植术后特发性高氨血症的早期预警;综合性降氨治疗的护理，包括间歇性血液透析联合连续性肾脏替代治疗的护理、药物降氨护理、动态化的营养支持护理;加强免疫抑制药物的特殊管理;实施移植肺功能的持续性个性化训练;开展认知功能训练。经过积极治疗，患者意识转清，血氨浓度恢复正常，顺利出院。

关键词: 肺移植, 特发性高氨血症, 肾替代疗法, 护理

Abstract:

To summarize the nursing experience of a patient complicated with idiopathic hyperammonemia after double lung transplantation. Nursing points include the early warning of idiopathic hyperammonemia after lung transplantation;care of comprehensive ammonia lowering therapy，including intermittent hemodialysis and continuous kidney replacement therapy，drug ammonia lowering therapy，dynamic nutrition support care;special management of immunosuppressive drugs;continuous individualized training of transplanted lung function;care of cognitive impairment caused by cerebral cortex damage. After the active treatment，the patient was transferred，and the blood ammonia concentration returned to normal. The patient was discharged smoothly.

Key words: Lung Transplantation, Idiopathic Hyperammonemia, Renal Replacement Therapy, Nursing Care

曾妃, 梁江淑渊, 兰美娟, 林闰麒. 1例双肺移植术后患者并发特发性高氨血症的护理[J]. 中华护理杂志, 2022, 57(21): 2635-2638.

ZENG Fei, LIANG Jiangshuyuan, LAN Meijuan, LIN Runqi. Nursing care of a patient complicated with idiopathic hyperammonemia after double lung transplantation[J]. Chinese Journal of Nursing, 2022, 57(21): 2635-2638.

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1例双肺移植术后患者并发特发性高氨血症的护理

Nursing care of a patient complicated with idiopathic hyperammonemia after double lung transplantation

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