一例儿童心脏死亡器官捐献供肝在成人肝移植术后并发门静脉血栓形成的护理  

One case the nursing of children organ donations after cardiac death donation of liver in adultswith portal venous thrombosis after liver transplantation

作　　者：陈慧琳 芮丽涵[1] 罗新春[1] 叶海丹[1] 

机构地区：[1]中山大学附属第一医院器官移植科,广州510000

出　　处：《中国实用护理杂志》2017年第28期2199-2202,共4页Chinese Journal of Practical Nursing

基　　金：基金项目：国家自然科学基金（81373156）;广东省器官捐献与移植免疫重点实验室（2013A061401007）;中山一院护理科研基金（K0505006）

摘　　要：目的探讨成人受者接受儿童心脏死亡器官捐献（DCD）行肝移植术术后并发门静脉血栓形成的护理。方法对2015年完成的1例成人受者接受儿童DCD供肝肝移植术后并发门静脉血栓形成的临床情况进行回顾性分析，针对门静脉血栓采取的门静脉置管溶栓、门静脉支架置入术，进行患者病情变化的严密观察和护理。结果住院51d，经过临床积极的治疗和精心的护理，门静脉溶栓效果良好，支架置入术后门静脉血流通畅，临床症状均缓解，术后肝功能恢复良好，患者顺利出院，定期随访。结论儿童DCD供肝可以成功应用于成人受者，但需加强对术后相关并发症的认识。做好症状观察，及早发现，积极的护理干预，有助于患者的预后。Objective To investigate the nursing of the adult recipients who accept children organ donations after cardiac death （DCD） complicated with portal venous thrombosis after liver transplantation. Methods We retrospectively analyzed 1 case completed in 2015 related to the adult recipients who accept children organ donations after cardiac death with portal venous thrombosis after liver transplantation in clinical situation, in view of the portal vein thrombosis of portal vein catheter thrombolysis, portal vein carotid stenting, close observation and nursing are used for patients＇condition change. Results After positive clinical therapy and careful nursing, portal venous thrombolysis effect is good, and portal venous blood flowing after carotid stenting, clinical symptoms were alleviated. The liver function recovered well after surgery, and the patient discharged successfully, followed by regular visits from the hospital. Conclusions Children organ donations after cardiac death for liver can be successfully applied in the adult recipients, but the understanding of related complications after surgery need to be strengthened. The symptom observation, early detection, active nursing intervention, are conducive to the prognosis of patients.

关 键 词：护理 儿童DCD供肝 肝移植术后 门静脉血栓形成 

分 类 号：R473.6[医药卫生—护理学]