Nursing care of a patient with bile leakage and duodenal leakage in liver transplantation with portal vein semi transposition

doi:10.3761/j.issn.0254-1769.2021.02.017

Abstract

Abstract:

This paper summarizes the nursing experience of a patient with bile leakage and duodenal leakage after liver transplantation with portal vein semi transposition. Nursing points：nursing care of bile leakage and duodenal leakage;nursing care of refractory ascites;nursing care of malnutrition and nutritional support;follow-up after discharge. After careful treatment and nursing care,the patient recovered and was discharged from the hospital. Up to now,there was no discomfort symptoms and liver transplantation function was normal.

Key words: Portal Vein Semi Transposition, Liver Transplantation, Bile Leakage, Duodenal Leakage, Nursing Care

摘要：

总结1例行门腔静脉半转位肝移植术后患者并发胆漏及十二指肠漏的护理经验。护理要点包括：胆漏及十二指肠漏的护理、顽固性腹水的护理、营养不良与营养支持护理、康复训练与出院指导。经过精心的治疗及护理,患者康复出院,随访期间,无不适症状,移植肝功能正常。

关键词: 门腔静脉半转位, 肝移植, 胆漏, 十二指肠漏, 护理

SHANG Yunxian, HAN Xueli, ZENG Qiaoling, LUO Xinchun, YE Haidan. Nursing care of a patient with bile leakage and duodenal leakage in liver transplantation with portal vein semi transposition[J]. Chinese Journal of Nursing, 2021, 56(2): 260-264.

尚昀晛, 韩雪莉, 曾巧玲, 罗新春, 叶海丹. 1例门腔静脉半转位肝移植术后患者并发胆漏及十二指肠漏的护理[J]. 中华护理杂志, 2021, 56(2): 260-264.

References 6

[1]	Hibi T, Nishida S, Levi DM , et al. When and why portal vein thrombosis matters in liver transplantation:a critical audit of 174 cases[J]. Ann Surg, 2014,259(4):760-766.
[2]	Dutkowski P, Linecker M, DeOliveira ML,et al. Challenges to liver transplantation and strategies to improve outcomes[J]. Gastroenterology, 2015,148(2):307-323.
[3]	Teng F, Sun KY, Fu ZR . Tailored classification of portal vein thrombosis for liver transplantation:focus on strategies for portal vein inflow reconstruction[J]. World J Gastroenterol, 2020,26(21):2691-2701.
[4]	Yan ML, Zeng Y, Li B , et al. Postoperative complications after liver transplantation with cavoportal hemitransposition[J]. Hepatobiliary Pancreat Dis Int, 2008,7(3):322-324.
[5]	Kang K, Shu XL, Zhang YS , et al. Effect of glutamine enriched nutrition support on surgical patients with gastrointestinal tu-mor:a meta-analysis of randomized controlled trials[J]. Chin Med J, 2015,128(2):245-251.
[6]	张荣利, 揭彬 . 早期活动干预对肝移植患者术后康复的影响[J]. 中华护理杂志, 2006,41(5):391-394.
	Zhang RL, Jie B . Effect of early intervention to patients undergoing liver transplantation[J]. Chin J Nurs, 2006,41(5):391-394.

[1]	SHEN Zhijia, CHEN Xinyu, QIAN Zhijie, YIN Limei. Behavioral characteristics of patients with recurrent hypoglycemia in the degeneracy of blood glucose management：a mixed-methods study [J]. Chinese Journal of Nursing, 2024, 59(9): 1043-1050.
[2]	WANG Limei, LI Lu, LI Yuxia, YU Peng, LUO Qian, ZHANG Chongni. The status and influencing factors of kinesiophobia in patients with diabetic peripheral neuropathic pain [J]. Chinese Journal of Nursing, 2024, 59(9): 1051-1056.
[3]	DING Huimin, DAI Limin, CAI Dongqing, YANG Qun. Potential profile analysis and influencing factors of self-management in prediabetic patients [J]. Chinese Journal of Nursing, 2024, 59(9): 1057-1064.
[4]	LIU Haiting, WANG Yongmei, ZHENG Beibei, CAI Lili, YE Linbin, WU Jiayun, NING Li, LI Yimin, CHEN Weixia. Development and reliability and validity test of a Self-Assessment Scale for Medication Literacy in Patients with Coronary Heart Disease Comorbidity Diabetes [J]. Chinese Journal of Nursing, 2024, 59(9): 1065-1071.
[5]	Allergy and Clinical Immunology Committee of Chinese Research Hospital Association, Allergy Care Group, Chinese Society of Allergology, Chinese Medical Association, Allergy Prevention and Control Committee of Chinese Preventive Medicine Association, （Writing Committee：WANG Qing, LIU Jun, ZHI Fan, WAN Wenjin, TIAN Fengying, HUO Xiaopeng, ZHOU Wenhua YANG Yongshi, WANG Tiantian, SUN Jinlü）. Nursing expert consensus on subcutaneous injection for allergen-specific immunotherapy [J]. Chinese Journal of Nursing, 2024, 59(9): 1080-1083.
[6]	LI Qi, SU Qingqing, ZHANG Yaoyao, WANG Tiantian, LÜ Jing, LI Yake, LI Haiyan. A study on the trajectory and influencing factors of joint awareness in patients with total knee arthroplasty [J]. Chinese Journal of Nursing, 2024, 59(9): 1084-1090.
[7]	LIU Ya, LIU Xiaoqing, YANG Xuening, WANG Ping, LIU Xuekui, LUO Dan. Construction and validation of a risk predictive model for the bowel preparation failure in colonoscopy patients [J]. Chinese Journal of Nursing, 2024, 59(9): 1091-1098.
[8]	LI Xuqin, FENG Jiehui, HUANG Fangfang, YU Chao, LIANG Shiyu, WANG Xiao, LI Xufang, ZHU Han. Nursing care of a patient before operation with mechanical circulation-assisted bridging heart transplantation [J]. Chinese Journal of Nursing, 2024, 59(9): 1114-1117.
[9]	JIA Xiaojing, CHEN Yizhu, XU Zhiying, HE Xia, GENG Chao. Nursing care of a patient with acute myocardial infarction after double knee joint replacement due to alkaptonuria [J]. Chinese Journal of Nursing, 2024, 59(9): 1118-1121.
[10]	CUI Yishuang, HE Xifei, WANG Zhaozhao, CHENG Jie, YANG Weimei, LU Lijuan. Shared decision making in acute coronary syndromes：a scoping review [J]. Chinese Journal of Nursing, 2024, 59(9): 1145-1152.
[11]	YU Liangmeng, YU Xiaoling, LI Jiamei, RUAN Xiaofen. Application progress of evidence mapping in nursing field [J]. Chinese Journal of Nursing, 2024, 59(8): 1021-1025.
[12]	GUO Miaomiao, YAN Tingting, XU Dandan, YUAN Ling. Development and application of a whole course management information system for breast cancer [J]. Chinese Journal of Nursing, 2024, 59(8): 901-908.
[13]	QIAO Wenbo, HOU Sijia, ZHU Keping, LI Yaqin, WU Siyuan, QI Ziyi, WANG Wei. Construction and application of a pelvic floor muscle training program for patients with radical prostatectomy [J]. Chinese Journal of Nursing, 2024, 59(8): 909-915.
[14]	LU Ping, WANG Xiaojie, GUO Hailing. Correlation between preoperative frailty and short-term postoperative complications in elderly breast cancer patients [J]. Chinese Journal of Nursing, 2024, 59(8): 916-921.
[15]	YOU Chaoxiang, JIA Mengying, LI Shuang, CHEN Lili, JING Wendan, KOU Hongyan. A study of longitudinal trajectories and predictive factors of symptom clusters in patients with laparoscopic anal preservation surgery for rectal cancer [J]. Chinese Journal of Nursing, 2024, 59(8): 922-929.