中华护理杂志 ›› 2024, Vol. 59 ›› Issue (17): 2134-2137.DOI: 10.3761/j.issn.0254-1769.2024.17.013

• 疑难重症护理 • 上一篇    下一篇

1例右向左翻转式异位肺移植患者的护理

曾妃(), 兰美娟(), 梁江淑渊, 顾培培   

  1. 310000 杭州市 浙江大学医学院附属第二医院护理部
  • 收稿日期:2023-10-07 出版日期:2024-09-10 发布日期:2024-09-02
  • 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),主任护师,科护士长,E-mail:zengfei@zju.edu.cn

Nursing care of a patient with right-to-left inverted lung transplantation

ZENG Fei(), LAN Meijuan(), LIANG Jiangshuyuan, GU Peipei   

  • Received:2023-10-07 Online:2024-09-10 Published:2024-09-02

摘要:

总结1例右向左翻转式异位肺移植患者的护理经验。护理要点:严密监测频发性心律失常;制订基于心率匹配的过渡式肺康复策略;警惕肺复张不全导致二氧化碳潴留;做好无创通气联合一氧化氮吸入治疗肺动脉高压的护理;早期识别并处理胃肠道功能障碍;加强并发症的预防和管理。经过精细化护理,患者恢复良好,移植肺功能正常,顺利出院。

关键词: 异位肺移植, 右向左翻转, 肺康复, 护理

Abstract:

The nursing experience of a patient with right-to-left inverted lung transplantation was summarized. The key points of nursing care:closely monitoring frequent arrhythmiac;developing excessive pulmonary rehabilitation strategies based on heart rate;being alert to carbon dioxide retention caused by pulmonary insufficiency;performing non-invasive ventilation combined with nitric oxide inhalation for pulmonary hypertension care;early identification and management of gastrointestinal dysfunction;and strengthening the prevention and management of complications. After fine care,the patient recovered well,and the transplanted lung function was normal,and he was discharged smoothly.

Key words: Heterotopic Lung Transplantation, Right-to-Left Inverted, Pulmonary Rehabilitation, Nursing Care