肝移植术后移植物抗宿主病的护理  

作　　者：危笑珍[1] 张献玲[1] 赖丹妮[1] 黄火姐[1] 

机构地区：[1]中山大学附属第三医院肝移植中心,广东广州510630

出　　处：《现代临床护理》2006年第5期38-40,共3页Modern Clinical Nursing

摘　　要：目的探讨肝移植术后移植物抗宿主病(graft versus host d isease,GVHD)的护理方法。方法对6例发生GVHD的患者进行观察和护理。结果本组6例GVHD患者早期临床症状缺乏特异性,以不明原因发热和皮疹为首发症状,白细胞下降明显。4例因发生感染、多器官功能衰竭、呼吸功能衰竭而死亡,2例痊愈出院。结论护理人员必须了解GVHD的临床特点,注意观察皮肤、消化道症状出现的时间,监测血象及肝功能的变化,做好感染的预防、用药的护理及心理护理,有助于提高GVHD的治愈率。Objective To investigate the nursing Methods in dealing with graft versus host disease （GVHD）. Methods 6 patients with GVHD were observed and nursing points were summarized. Results The 6 patients were absent from specific early syndromes, They were initially presented with no-reason fever and rash and decrease of white blood cells. Four cases died from serve infection, multi-organ dysfunction and failure in respiratory function. Two cases recovered and were discharged. Conclusion The nurses should be familiar with clinical features of GVHD, and pay more attention to skin and the onset time of digestive syndromes, detect the blood cells and liver function changes. Better nursing of infection, medicine and patients＇ psychology can increase the cure rate of GVHD.

关 键 词：肝移植 移植物抗宿主病 护理 

分 类 号：R473.6[医药卫生—护理学]