Chinese Journal of Nursing ›› 2024, Vol. 59 ›› Issue (22): 2731-2733.DOI: 10.3761/j.issn.0254-1769.2024.22.006

• Special Planning——Liver Disease Nursing • Previous Articles     Next Articles

Nursing care of a patient with bilothorax after autologous liver transplantation

SHEN Xiaoping(), HU Chenlu(), YU Qian   

  • Received:2023-12-22 Online:2024-11-20 Published:2024-11-27
  • Contact: HU Chenlu

1例自体肝移植术后并发胆汁性胸腔积液患者的护理

沈小平(), 胡晨璐(), 俞倩   

  1. 310009 杭州市 浙江大学医学院附属第二医院护理部
  • 通讯作者: 胡晨璐
  • 作者简介:沈小平:女,本科,主管护师,E-mail:2612255@zju.edu.cn
  • 基金资助:
    浙江省教育厅项目(Y202352112)

Abstract:

To summarize the nursing experience of a patient with bilothorax after autologous liver transplantation. The key points of nursing include:early identification of reexpansion pulmonary edema,the start of the hospital rapid response team to give efficient rescue;early identification of bilothorax,and maintenance of effective drainage combined with accurate anti-infection treatment;individual and stage lung rehabilitation training to promote patients lung rehabilitation;step anticoagulant therapy is safely administered under dynamic assessment of bleeding risk. Through careful treatment and nursing,the patient was discharged 63 days after surgery.

Key words: Liver Cancer, Liver Transplantation, Bilothorax, Nursing Care

摘要:

总结1例自体肝移植术后并发胆汁性胸腔积液患者的护理经验。护理要点:早期识别复张性肺水肿,启动院内快速反应系统,开展高效救护;尽早识别胆汁性胸腔积液,维持有效引流,进行精准抗感染治疗;实施个体化分阶段肺康复方案;开展阶梯性抗凝治疗,动态监测出血征象。通过精心的治疗与护理,患者术后63 d带胸腔引流管出院。

关键词: 肝癌, 肝移植, 胸腔积液, 护理