Abstract:

To summarise the nursing experience of caring for a patient with focal segmental glomerulosclerosis for kidney re-transplantation. Nursing key points：early recognition of recurrence of the original disease and rapid activation of emergency response；stabilization of cyclosporine concentration by precision management；optimizing in vitro anticoagulation regimens and vigilance for bleeding and clotting；regulate adrenocorticotropic hormone use and being alert for adverse effects；implementing the whole process of infection prevention and control to prevent infection；implementing the whole process of psychological counseling to alleviate negative emotions. After active treatment and careful care，the patient’s transplanted kidney function recovered and was successfully discharged. After a follow-up for 2 months，the patient recovered well.

Key words: End-Stage Renal Disease, Kidney Re-transplantation, Focal Segmental Glomerulosclerosis, Nursing Care

摘要：

总结1例局灶节段性肾小球硬化症患者再次肾移植的护理经验。护理要点：尽早识别原发病复发，快速启动应急处置；实施精准管理，稳定环孢素浓度；优化体外抗凝方案，警惕出血与凝血；规范促肾上腺皮质激素使用，警惕不良反应；落实全程感染防控，预防术后感染；实施全程心理疏导，缓解负性情绪。经过积极治疗和精心护理，患者移植肾功能恢复，顺利出院。随访2个月，恢复良好。

关键词: 终末期肾脏病, 再次肾移植, 局灶节段性肾小球硬化症, 护理