57例婴幼儿行ABO血型不相容亲体肝移植的围手术期护理

doi:10.3761/j.issn.0254-1769.2026.10.014

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (10): 1402-1406.DOI: 10.3761/j.issn.0254-1769.2026.10.014

57例婴幼儿行ABO血型不相容亲体肝移植的围手术期护理

王芳¹(), 卢芳燕²(), 王燕¹, 蒋树英¹, 汤洒潇³

¹ 浙江大学医学院附属第一医院肝移植中心杭州市 310003
² 浙江大学医学院附属第一医院护理部杭州市 310003
³ 浙江大学医学院附属第一医院肝移植资料室杭州市 310003

收稿日期:2025-05-27 出版日期:2026-05-20 发布日期:2026-05-09
*通讯作者: 卢芳燕，E-mail：2196032@zju.edu.cn
作者简介:王芳：女，本科，主管护师，E-mail：787993514@qq.com
第一联系人：作者贡献声明
王芳：资料收集及分析、论文撰写；卢芳燕：选题设计、论文审阅及修改；王燕：研究指导、论文修改；蒋树英：文献检索、论文修改；汤洒潇：资料收集
基金资助:
浙江省医药卫生科技计划(2023KY105)

Perioperative nursing care for 57 infants undergoing ABO-incompatible living donor liver transplantation

WANG Fang¹(), LU Fangyan²(), WANG Yan¹, JIANG Shuying¹, TANG Saxiao³

¹ Liver Transplantation Center， the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310003， China
² Nursing Department， the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310003， China
³ Liver Transplantation Documentation Room， the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310003， China.

Received:2025-05-27 Online:2026-05-20 Published:2026-05-09
* Corresponding author: LU Fangyan，E-mail：2196032@zju.edu.cn
Funding program:
Zhejiang Provincial Medical and Health Science and Technology Plan(2023KY105)

摘要/Abstract

摘要：

总结57例婴幼儿行ABO血型不相容亲体肝移植的围手术期护理经验，护理要点如下。术前诱导脱敏，降低血型抗体滴度，实施预见性护理；早期营养评估，进行个体化营养护理。术后精准服用免疫抑制剂，预防排异与感染；贯序抗凝治疗，平衡栓塞与出血风险；赋能患儿家长，实施家庭-医院-社会三级联动护理；促进患儿康复，实施分阶段延续性护理。经过精心的治疗与护理，所有患儿均顺利完成手术，术后1例患儿因出血性休克死亡，其余56例均康复出院，随访4个月至2年，恢复良好。

关键词: 肝移植, 儿科护理学, 血型不相容, 围术期护理

Abstract:

This article summarizes the perioperative nursing experience of 57 infants undergoing ABO-incompatible living donor liver transplantation. The key points of nursing include：preoperative induction of desensitization to reduce blood group antibody titer and implement predictive nursing；early nutritional assessment and individualized nutritional care；precise administration of immunosuppressants after surgery to prevent rejection and infection；sequential anticoagulant therapy to balance the risks of embolism and bleeding；empowering parents of the children and implementing a three-level linkage of family-hospital-society care；promoting the recovery of the children and implementing phased continuous care. Through careful treatment and nursing care，all children successfully completed the surgery. A child died of hemorrhagic shock postoperatively，while the remaining 56 children recovered and were discharged. Follow-up visits ranging from 4 months to 2 years showed good recovery.

Key words: Liver Transplantation, Pediatric Nursing, Blood Type Incompatibility, Perioperative Nursing

王芳, 卢芳燕, 王燕, 蒋树英, 汤洒潇. 57例婴幼儿行ABO血型不相容亲体肝移植的围手术期护理[J]. 中华护理杂志, 2026, 61(10): 1402-1406.

WANG Fang, LU Fangyan, WANG Yan, JIANG Shuying, TANG Saxiao. Perioperative nursing care for 57 infants undergoing ABO-incompatible living donor liver transplantation[J]. Chinese Journal of Nursing, 2026, 61(10): 1402-1406.

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57例婴幼儿行ABO血型不相容亲体肝移植的围手术期护理

Perioperative nursing care for 57 infants undergoing ABO-incompatible living donor liver transplantation

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