先天性胆道闭锁短肠综合征患儿行肝移植的术后护理  

Postoperative nursing care of a child with congenital biliary atresia and short bowel syndrome undergoing liver transplantation

作　　者：王燕[1] 卢芳燕 王芳[1] 蒋树英[1] 朱莉 WANG Yan;LU Fangyan;WANG Fang;JIANG Shuying;ZHU Li

机构地区：[1]浙江大学医学院附属第一医院肝移植中心,杭州市310003

出　　处：《中华急危重症护理杂志》2022年第4期351-353,共3页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省中医药科学研究基金项目(2022ZA093)。

摘　　要：总结1例先天性胆道闭锁合并短肠综合征患儿行肝移植的术后护理体会。针对患儿病情危重、手术复杂、剩余肠管代偿不足、免疫功能低下等问题,监测重要脏器功能,及时报告异常情况;动态调整营养管理方案,促进肠道代偿;严格落实感染防控措施,预防感染的发生;早期预警排斥反应,准确使用免疫抑制剂;加强皮肤管理,积极干预尿布性皮炎;制订个体化的家庭管理方案,提高患儿生存质量。经过129d积极治疗和精心护理,患儿康复出院,随访2个月,患儿状况良好。To summarize the postoperative nursing experience of liver transplantation in a child with congenital biliary atresia and short bowel syndrome.In view of the child's critical conditioncomplex surgery,inadequate compensation of the remaining bowel,low immune function and etc,important organ function monitoring was taken to report abnormal conditions timely;nutrition management program was dynamically adjusted to promote intestinal compensation;infection prevention and control measures were strictly implemented to prevent the occurrence of infection;rejection reactions were early wared and immunosuppressant was accurately used:of the drainagetubes nursing was strengthened in operative area to prevent accidental extubation;skin management was strengthened and diaper dermatitis was actively intervened;individualized family management plan was formulated to improve the quality of life of children.After 129 days of active treatment and meticulous care,the child recovered and was discharged from the hospital and followed up for 2 months,and the child was in good condition.

关 键 词：先天性胆道闭锁 短肠综合征 肝移植 儿科护理学 围手术期护理 

分 类 号：R473.72[医药卫生—护理学]