中华护理杂志 ›› 2023, Vol. 58 ›› Issue (20): 2508-2512.DOI: 10.3761/j.issn.0254-1769.2023.20.011

• 个案研究 • 上一篇    下一篇

1例卡塔格内综合征患者行双肺移植术后的护理

张萍(), 翁峰霞(), 桑明, 卫建华   

  1. 310003 杭州市 浙江大学医学院附属第一医院外科监护室
  • 收稿日期:2023-02-23 出版日期:2023-10-20 发布日期:2023-10-19
  • 通讯作者: 翁峰霞,E-mail:wengfengxia@zju.edu.cn
  • 作者简介:张萍:女,本科,主管护师,E-mail:524741366@qq.com
  • 基金资助:
    浙江大学医学院附属第一医院护理科研青年孵化基金项目(2022QF018)

Nursing care of a patient with Kartagener’s syndrome after double lung transplantation

ZHANG Ping(), WENG Fengxia(), SANG Ming, WEI Jianhua   

  • Received:2023-02-23 Online:2023-10-20 Published:2023-10-19

摘要:

总结1例卡塔格内综合征患者行双肺移植术后的护理经验。护理要点如下:警惕术后心律失常,掌握最佳急救时机;密切监测呼吸功能,分阶段优化气道管理;实施多方位感染防控措施,降低感染发生风险;启动血糖管理流程,避免血糖波动幅度过大;开展个体化功能康复,加强肢体功能锻炼。经过72 d的积极治疗和精心护理,患者病情好转,康复出院。

关键词: 卡塔格内综合征, 肺移植, 心律失常, 护理

Abstract:

To summarize the nursing experience of a patient with Kartagener’s syndrome after double lung transplantation. The key points of nursing care are as follows. Being alert to postoperative arrhythmias and grasping the best time for emergency treatment;closely monitoring respiratory function and optimizing airway management in phases;implementing multi-faceted infection prevention and control measures to reduce the risk of infection;initiating blood glucose management process to avoid excessive blood glucose fluctuations;carrying out individualized functional rehabilitation and strengthening limb functional exercise. After 72 d of active treatment and careful care,the patient improved and was discharged from the hospital.

Key words: Kartagener’s Syndrome, Lung Transplantation, Arrhythmia, Nursing Care