儿童活体肝移植术后肺部感染的预防及护理  

Prevention and nursing for pulmonary infection among children after living Hver transplantation

作　　者：王红霞[1] 薛彩云[1] 殷蓉[1] 

机构地区：[1]南京医科大学第一附属医院肝移植中心,210029

出　　处：《中国实用护理杂志（中旬版）》2007年第5期4-5,共2页Chinese Journal of Practical Nursing

基　　金：江苏省重点课题（BJ98025）;江苏省医学重点学科建设基金（135-10）

摘　　要：目的探讨活体肝移植术后患儿肺部感染状况及预防措施的要点。方法2001年3月-2006年3月，对25例行活体肝移植术后患儿肺部感染状况及预防措施进行回顾分析。结果活体肝移植术后患儿并发肺部感染率较成人高，其与患儿不会咳痰或排痰不力，手术时间长，呼吸机使用时间和气管插管及气管切开时间长等因素有关。以条件致病菌为主，在术后2周内发生肺部感染例次占总肺部感染例次的60％。结论加强手术前示教及术后2周内肺部感染的预防与护理，加强术后病房的管理，重视物理性预防护理及使用呼吸治疗装置的护理，严格遵守吸痰注意事项及无菌技术操作．可有效降低活体肝移植术后患儿的肺部感染。Objective In order to know the proper points about prevention and nursing for pulmonary infection among children after living liver transplantation. Methods Analyzed the data about 25 children with postoperative pulmonary infection when they had accepted living liver transplantation. Resulks The incidence rate of postoperative pulmonary infection in children was higher than that of in adults. The dominant pathogenic bacteria were conditional bacteria, the fastigium of pulmonary infection was 2 weeks after the transplantation operation. Conclusion Reinforce health education and preventive measures before operation can guarantee successful living liver transplatation for children without any pulmonary infection, and then improve their quality of life.

关 键 词：活体 肝移植 肺部感染 预防 护理 

分 类 号：R656[医药卫生—外科学]