1例原发性高草酸盐尿症患者行肝肾联合移植术后的液体管理

doi:10.3761/j.issn.0254-1769.2021.07.017

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (7): 1058-1061.DOI: 10.3761/j.issn.0254-1769.2021.07.017

1例原发性高草酸盐尿症患者行肝肾联合移植术后的液体管理

黄月华(),谭嘉敏,庄水冰,麦汉滔,王晓瑾,蔡敏,莫红平()

510120 广州市中山大学孙逸仙纪念医院重症医学科

收稿日期:2021-02-09 出版日期:2021-07-15 发布日期:2021-06-29
通讯作者:
作者简介:黄月华：女,本科,主管护师,护士长,E-mail： hyuehua@mail.sysu.edu.cn
基金资助:
2019年度广东省护理学会护理科研项目(gdhlxueh-2019zx073)

Fluid management and nursing care of a primary hyperoxaluria patient received combined liver and kidney transplantation

HUANG Yuehua(),TAN Jiamin,ZHUANG Shuibing,MAI Hantao,WANG Xiaojin,CAI Min,MO Hongping()

Received:2021-02-09 Online:2021-07-15 Published:2021-06-29

摘要/Abstract

摘要：

总结1例原发性高草酸盐尿症患者行肝肾联合移植术后精准液体管理的护理经验,护理要点如下：设定液体平衡目标和容量安全值;准确记录患者出入量,有效管理液体输入速度;动态监测各项指标,为液体管理提供依据。通过10 d的治疗和精心护理,患者顺利转至普通病房,第21天康复出院。

关键词: 原发性高草酸盐尿症, 肝移植, 肾移植, 液体管理, 围手术期护理

Abstract:

To summarize the precise fluid management and nursing experience of a primary hyperoxaluria patient received combined liver and kidney transplantation. Nursing highlights：The goal of fluid balance and capacity safety value were set. Hourly input and output were accurately recorded,and the rate of patient inflow and outflow was managed effectively. Various indicators were dynamically monitored to provide a basis for fluid management. After 10 days’ careful treatment and care,the patient was discharged to the general ward and was discharged after 21 days.

Key words: Primary Hyperoxaluria, Liver Transplantation, Kidney Transplantation, Fluid Management, Perioperative Nursing

黄月华,谭嘉敏,庄水冰,麦汉滔,王晓瑾,蔡敏,莫红平. 1例原发性高草酸盐尿症患者行肝肾联合移植术后的液体管理[J]. 中华护理杂志, 2021, 56(7): 1058-1061.

HUANG Yuehua,TAN Jiamin,ZHUANG Shuibing,MAI Hantao,WANG Xiaojin,CAI Min,MO Hongping. Fluid management and nursing care of a primary hyperoxaluria patient received combined liver and kidney transplantation[J]. Chinese Journal of Nursing, 2021, 56(7): 1058-1061.

参考文献 16

[1]	Zhao F, Bergstralh EJ, Mehta RA, et al. Predictors of incident ESRD among patients with primary hyperoxaluria presenting prior to kidney failure[J]. Clin J Am Soc Nephrol, 2016, 11(1):119-126. DOI URL
[2]	Hopp K, Cogal AG, Bergstralh EJ, et al. Phenotype-genotype correlations and estimated carrier frequencies of primary hyperoxaluria[J]. J Am Soc Nephrol, 2015, 26(10):2559-2570. DOI URL
[3]	Cochat P, Deloraine A, Rotily M, et al. Epidemiology of primary hyperoxaluria type 1. Société de Néphrologie and the Société de Néphrologie Pédiatrique[J]. Nephrol Dial Transplant, 1995, 10(Suppl 8):3-7.
[4]	熊艳, 卢中山, 夏志平, 等. Ⅰ型原发性高草酸尿症致移植肾功能不全一例[J]. 中华移植杂志(电子版), 2019, 13(1):58-59.
	Xiong Y, Lu ZS, Xia ZP, et al. Renal allograft dysfunction caused by primary hyperoxaluria type Ⅰ:one case report[J]. Chin J Transplant Electron Ed, 2019, 13(1):58-59.
[5]	Compagnon P, Metzler P, Samuel D, et al. Long-term results of combined liver-kidney transplantation for primary hyperoxaluria type 1:the French experience[J]. Liver Transpl, 2014, 20(12):1475-1485.
[6]	王峪, 刘懿禾, 明宇, 等. 成人肝肾联合移植36例围手术期液体管理[J]. 中华危重病急救医学, 2013, 25(7):432-434. DOI PMID
	Wang Y, Liu YH, Ming Y, et al. Perioperative fluid management in 36 cases of adult combined liver and kidney transplantation[J]. Chin Crit Care Med, 2013, 25(7):432-434. DOI PMID
[7]	李昭贤, 陈雅洁, 曹经琳, 等. 肝移植围术期液体管理[J]. 实用器官移植电子杂志, 2021, 9(2):160-162.
	Li ZX, Chen YJ, Cao JL, et al. Perioperative fluid management of liver transplantation[J]. Pract J Organ Transplant Electron Version, 2021, 9(2):160-162.
[8]	焦李子, 薛武军, 郑瑾, 等. 肾移植后移植肾功能恢复延迟对远期移植肾功能的影响[J]. 中华器官移植杂志, 2018, 39(3):140-144.
	Jiao LZ, Xue WJ, Zheng J, et al. Long term renal function of donation after citizen’s deceased transplantation[J]. Chin J Organ Transplant, 2018, 39(3):140-144.
[9]	钟劲, 于翠香, 陶红梅, 等. 液体管理策略在肺移植术后患者中的应用[J]. 中华护理杂志, 2019, 54(5):678-681.
	Zhong J, Yu CX, Tao HM, et al. Application of fluid management strategy in patients received lung transplantation[J]. Chin J Nurs, 2019, 54(5):678-681.
[10]	卢小丽, 廖燕, 唐艳燕. 肝移植术后患者ICU期间每日核查表的设计与应用[J]. 中华现代护理杂志, 2013, 48(35):4418-4421.
	Lu XL, Liao Y, Tang YY. Design and application of daily checklist in ICU for patients after liver transplantation[J]. Chin J Mod Nurs, 2013, 48(35):4418-4421.
[11]	张四梅, 安睿, 刘琳, 等. 围手术期液体治疗对经典原位肝移植术后早期肺部并发症的影响[J]. 中华外科杂志, 2019, 57(6):440-446. DOI PMID
	Zhang SM, An R, Liu L, et al. The effect of perioperative fluid therapy on early postoperative pulmonary complications after orthotropic liver transplantation[J]. Chin J Surg, 2019, 57(6):440-446. DOI PMID
[12]	李靖华, 吴泽宇, 管向东. 血乳酸浓度检测在失血性低血容量休克预后评估中的作用[J]. 实用医学杂志, 2009, 25(15):2576-2577.
	Li JH, Wu ZY, Guan XD. The role of serum lactic acid concentration in prognosis evaluation of hemorrhagic hypovolemic shock[J]. J Pract Med, 2009, 25(15):2576-2577.
[13]	黄赣英. 床边动脉血乳酸水平和急诊危重患者病情、护理工作量的相关性研究[D]. 杭州:浙江大学, 2014.
	Huang GY. The relation research of bedside arterial lactate levels and the emergency critically ill patients,nursing activities[D]. Hangzhou:Zhejiang University, 2014.
[14]	Mehrabi A, Fonouni H, Ayoub E, et al. A single center experience of combined liver kidney transplantation[J]. Clin Trans-plant, 2009, 23(Suppl 21):102-114.
[15]	中华医学会器官移植学分会. 中国肝移植术后并发症诊疗规范(2019版)[J]. 中华移植杂志(电子版), 2019, 13(4):269-272.
	Branch of Organ Transplantation of Chinese Medical Association. Diagnosis and treatment specification for postoperative complications after liver transplantation in China(2019 edition)[J]. Chin J Transplant Electron Ed, 2019, 13(4):269-272.
[16]	邱晓华, 邱海波. CRRT在重症感染患者中的应用进展[J]. 中华急诊医学杂志, 2011, 20(7):774-776.
	Qiu XH, Qiu HB. Progress in the application of CRRT in patients with severe infection[J]. Chin J Emerg Med, 2011, 20(7):774-776.

1例原发性高草酸盐尿症患者行肝肾联合移植术后的液体管理

Fluid management and nursing care of a primary hyperoxaluria patient received combined liver and kidney transplantation

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 16

相关文章 15

编辑推荐

Metrics

[1]	毛云涛, 陈丽莉, 陈笑笑, 王莺. 1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理[J]. 中华护理杂志, 2024, 59(8): 930-933.
[2]	冯洁惠, 朱含, 王阳秭, 高春华, 陈霞, 俞超, 潘英, 尤奥林, 王华芬. 心脏移植围手术期护理质量评价指标的构建[J]. 中华护理杂志, 2024, 59(4): 425-431.
[3]	王欢, 王晶晶, 窦文艳, 吴旭红. 1例细菌性角膜溃疡新生儿行角膜移植术的围手术期护理[J]. 中华护理杂志, 2024, 59(4): 465-468.
[4]	赵洋洋, 潘文彦, 程立宏, 张琦, 张晓云, 周子琳. 肝移植围手术期患者血液净化抗凝管理的最佳证据总结[J]. 中华护理杂志, 2024, 59(17): 2138-2146.
[5]	张成东, 王莺, 卢芳燕. 32例胰腺癌根治手术联合自体小肠移植的护理配合[J]. 中华护理杂志, 2024, 59(16): 2009-2013.
[6]	朱慧娣, 章梅云, 严莉莉, 江月红, 徐巧英. 1例正中弓状韧带压迫综合征患者的围手术期护理[J]. 中华护理杂志, 2024, 59(15): 1891-1894.
[7]	陶建, 雷黎明, 宋亚敏. 27例A型主动脉夹层重度肥胖患者围手术期呼吸道的护理[J]. 中华护理杂志, 2024, 59(15): 1895-1899.
[8]	潘瑜, 潘向滢, 周斌, 金佳家. 1例体外膜肺氧合治疗并发严重下肢缺血患儿的围手术期护理[J]. 中华护理杂志, 2024, 59(13): 1639-1644.
[9]	沈鸣雁, 韩琳秋, 徐菁, 万鹏夏, 沈如芬, 姚媛媛, 冯志仙. 肾移植患者免疫抑制剂服药依从性管理审查指标的制订及障碍因素分析[J]. 中华护理杂志, 2024, 59(10): 1205-1211.
[10]	周惠玲, 杨志玉, 严靖雯, 许磊波. 肝移植患者体力活动现状及影响因素研究[J]. 中华护理杂志, 2024, 59(10): 1212-1217.
[11]	张盼盼, 田莹莹, 陶伏莹, 崔晓花, 石秦川, 朱珠. 新生儿术中获得性压力性损伤预防和护理的最佳证据总结[J]. 中华护理杂志, 2024, 59(10): 1233-1240.
[12]	李志茹, 王华芬, 卢芳燕, 吕璐洋, 鲍瑞洁, 董丽. 肝移植受者从青少年到成人过渡期准备的研究进展[J]. 中华护理杂志, 2023, 58(7): 875-880.
[13]	孙瑜, 顾莺, 王慧美. 1例川崎病合并巨大冠状动脉瘤患儿的围手术期护理[J]. 中华护理杂志, 2023, 58(5): 595-599.
[14]	石珂, 张海玲, 钱荣, 赵雯静, 管晓红, 汪澄, 李隽祎. 肾移植患者住院期间体力活动的循证护理实践[J]. 中华护理杂志, 2023, 58(4): 389-397.
[15]	王林, 王冉, 刘婷, 曹朋, 赵磊. 非糖尿病老年患者术中血糖异常风险预测模型的构建及验证[J]. 中华护理杂志, 2023, 58(3): 318-324.