14例造血干细胞移植后继发闭塞性细支气管炎行双肺移植术患儿的护理

doi:10.3761/j.issn.0254-1769.2025.08.012

摘要/Abstract

摘要：

总结14例造血干细胞移植后继发闭塞性细支气管炎行双肺移植术患儿的护理经验。护理要点：完善术前评估，积极改善机体状态；全程化体外膜肺氧合管理，实现早期安全撤机；任务反馈式呼吸训练游戏，促进肺功能正常发挥；以兴趣为导向的游戏式运动，促进肌力恢复；症状匹配式营养支持，应对胃肠道移植物抗宿主病；完善出院准备，赋能主要照顾者。经过精心的治疗及护理，14例患儿均顺利出院，随访显示肺功能正常，日常活动能力良好。

关键词: 造血干细胞移植, 闭塞性细支气管炎, 肺移植, 儿科护理学

Abstract:

To summarize the nursing experience of 14 children after double lung transplantation for secondary bronchiolitis obliterans after hematopoietic stem cell transplantation（HSCT）. Nursing points：to improve preoperative evaluation，actively improve the body status；to conduct the whole-process ECMO management to achieve early safe evacuation；to carry out the task feedback breathing training game to promote lung function；to implement the interest-oriented game exercise to promote muscle strength；to conduct the symptom-matched nutritional support，coping with gastrointestinal graft-host disease；to improve discharge preparation and empower primary caregivers. After careful nursing care，all of the 14 children were discharged smoothly. The follow-up result showed that the children had normal lung function and activities of daily living.

Key words: Hemopoietic Stem Cell Transplantation, Bronchiolitis Obliterans, Lung Transplantation, Pediatric Nursing

梁江淑渊, 王衍蝶, 曾妃, 兰美娟, 顾培培. 14例造血干细胞移植后继发闭塞性细支气管炎行双肺移植术患儿的护理[J]. 中华护理杂志, 2025, 60(8): 972-976.

LIANG Jiangshuyuan, WANG Yandie, ZENG Fei, LAN Meijuan, GU Peipei. Nursing care of 14 children after double lung transplantation for secondary bronchiolitis obliterans after hematopoietic stem cell transplantation[J]. Chinese Journal of Nursing, 2025, 60(8): 972-976.

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