Chinese Journal of Nursing ›› 2021, Vol. 56 ›› Issue (11): 1633-1637.DOI: 10.3761/j.issn.0254-1769.2021.11.005

• Special Planning-Pediatrics Nursing Care • Previous Articles     Next Articles

Nursing care of 3 children with Langerhans cell Histiocytosis after liver transplantation

REN Fangfei(), XU Qixin   

  • Received:2021-03-30 Online:2021-11-15 Published:2021-11-16

3例朗格汉斯细胞组织细胞增生症患儿行肝移植的术后护理

任芳菲(), 徐祁新   

  1. 510000 广州市 中山大学附属第三医院器官移植病区
  • 作者简介:任芳菲:女,本科,主管护师,护士长,E-mail: 380183855@qq.com

Abstract:

This article summarizes the nursing experience of 3 cases of Langerhans cell histiocytosis after liver transplantation. The main points of nursing include:multi-organ function monitoring,timely reporting of abnormal conditions;to conduct protective isolation to reduce postoperative infections;to strengthen skin care;to develop individualized rehabilitation exercise plans and provide rehabilitation exercise guidance;to use immunosuppressive drugs correctly,to conduct immune induction therapy,and prevent the occurrence of rejection;to start nutritional support as soon as possible;to provide psychological care to relieve anxiety;to do a good job of discharge guidance,to establish a follow-up system,and conduct regular follow-ups. After careful treatment and care,all 3 children recovered and were discharged.

Key words: Langerhans Cell Histiocytosis, Liver Transplantation, Rehabilitation Exercise, Nutritional Support, Pediatric Nursing, Perioperative Nursing

摘要:

总结3例朗格汉斯细胞组织细胞增生症患儿行肝移植的术后护理经验。护理要点包括:多器官功能监护,及时报告异常情况;进行保护性隔离,减少术后感染;加强皮肤护理;制订个体化康复锻炼计划,给予康复锻炼指导;正确使用免疫抑制药物,进行免疫诱导治疗,预防排斥反应发生;尽早启动营养支持;进行心理护理,缓解焦虑情绪;做好出院指导,建立随访体系定期进行随访。经过精心的治疗和护理,3例患儿均康复出院。

关键词: 朗格汉斯细胞组织细胞增生症, 肝移植, 康复锻炼, 营养支持, 儿科护理学, 围手术期护理