14例亲缘性活体小肠移植患者术后早期并发症的护理  

Nursing care of early complications in 14 cases after parental living intestine transplantation

作　　者：柳晶晶[1] 黄飞燕[1] 汪彩娜 朱莉 LIU Jingjing;HUANG Feiyan;WANG Caina;ZHU Li

机构地区：[1]浙江大学医学院附属第一医院结直肠外科,杭州市310003 [2]浙江大学医学院附属第一医院移植病房,杭州市310003

出　　处：《中华护理杂志》2021年第9期1383-1386,共4页Chinese Journal of Nursing

摘　　要：总结14例亲缘性活体小肠移植患者术后早期并发症的护理要点,为临床护理提供借鉴。护理内容如下:成立跨学科合作团队,根据术后早期并发症不同特点,针对性地进行治疗和护理;注重肠造口窗的观察和凝血功能的监测,预防血管吻合口血栓形成;尽早发现并积极协助止血处理;监测感染征象,实行严格的感染防控策略;加强排斥反应监测和用药管理。该组移植受体术后30 d内发生5例出血、5例感染、2例急性排斥反应,1例放弃治疗,1例死亡。经及时准确的监测、治疗和护理,12例患者移植肠存活且功能良好,术后(20.58±5.79)d停止肠外营养,逐步恢复经口进食。To summarize the nursing points of early complications in 14 cases after parental living intestine transplantation and to provide references for clinical nursing.Key points of nursing:to set up an interdisciplinary cooperation team and carry out targeted treatment and nursing care according to the different characteristics of early postoperative complications;to predictively assess and prevent anastomotic vascular thrombosis;to early detect bleeding and actively assist in hemostasis treatment;to monitor infection signs and carry out infection controlling strategies strictly;to strengthen the management of transplanted enterostomy and the monitoring of rejection,and alert to acute rejection.Among transplant recipients in this group,there were 5 cases of bleeding,5 cases of infection,2 cases of acute rejection,1 case of giving up treatment,1 case of death within 30 days after transplantation.With timely and accurate monitoring,treatment and nursing care,12 cases survived and had perfect digestion and absorption function.In(20.58±5.79)d after the transplantation,the patients were out of parenteral nutrition and returned to normal oral feeding gradually.

关 键 词：小肠移植 术后并发症 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]