4例移植肾假性动脉瘤患者的护理  

作　　者：李京[1] 刘乃波[1] 周晓峰[1] 张钊[1] 

机构地区：[1]卫生部中日友好医院泌尿外科,北京100029

出　　处：《现代临床护理》2006年第5期41-42,45,共3页Modern Clinical Nursing

摘　　要：目的探讨肾移植术后移植肾假性动脉瘤的临床特征及护理方法。方法结合4例肾移植术后移植肾假性动脉瘤患者的资料,分析临床护理要点。结果4例均行移植肾彩色多普勒检查,其中3例行肾动脉造影确诊。本组患者2例行移植肾及动脉瘤切除术,1例采用带膜支架髂外动脉置入治疗,1例未作特殊处理定期随访观察。配合术前术后精心护理,患者术后均恢复良好。结论术前做好心理护理、严格控制血压、加强病情观察,术后密切监测生命体征、做好基础护理及预防感染对肾移植术后移植肾假性动脉瘤的良好治疗效果具有重要意义。Objective To evaluate the clinical features and nursing experiences of renal transplant pseudoaneurysm. Methods 4 cases of renal transplant pseudoaneurysm were retrospectively analyzed. Results Color Doppler flow （CDF） examinations were performed in 4 cases. By using angiography, renal transplant pseudoaneurysm was diagnosed in 3 cases. Two patients underwent nephrectomy. One case received the operation of manual vessel anastomose of external iliac. One patient didn＇t receive any treatment. Preoperative and post-operative nursing cares were carried out in all cases. Conclusion Preoperative and post- operative nursing include regulating blood pressure, giving psychological treatment, preventing infection and monitoring vital signs. These measures were significant in the process of treatment.

关 键 词：移植肾 假性动脉瘤 护理 

分 类 号：R473.6[医药卫生—护理学]