一例多囊肝患者行肝移植术后并发呼吸衰竭及移植肝功能不全的护理  

Nursing Care of A Polycystic Liver Patient with Liver Transplantation Complicated with Respiratory Failure and Transplanted Liver Insufficiency

作　　者：刘莹[1] 崔亚娟[1] 李京[1] 于颖[1] LIU Ying;CUI Yajuan;LI Jing;YU Ying(Department of Hepatobiliary Pancreatic Surgery,the First Hospital of Jilin University,Changchun 130000,Jilin Province,China)

机构地区：[1]吉林大学第一医院肝胆胰外一科,吉林长春130000

出　　处：《军事护理》2023年第2期110-112,共3页MILITARY NURSING

摘　　要：总结1例多囊肝患者行肝移植术后并发呼吸衰竭及移植肝功能不全的护理经验,主要包括:经鼻高流量氧疗结合呼吸肌功能锻炼,改善肺功能;制定有针对性的运动治疗方案,促进肺康复;实施精准的人工肝支持治疗,期间做好凝血功能观察,落实出血防范措施;免疫抑制剂的精准化管理,加速肝功能恢复;加强营养支持,提高机体状态;药物联合负性情绪管理策略,改善焦虑及失眠。经过21 d的诊疗与护理后,患者康复出院。To summarize the nursing experience of a patient with polycystic liver disease complicated with respiratory failure and transplanted liver insufficiency after liver transplantation.Key points of nursing included: nasal high flow oxygen therapy combined with respiratory muscle function exercise for lung function improvement;exercise protocol for lung rehabilitation;accurate artificial liver support treatment with coagulation function observation and bleeding prevention;precise management of immunosuppressants for liver function recovery;nutrition support for better body condition;and drugs combined with negative emotion management strategies for anxiety and insomnia improvement.After 21 days of diagnosis, treatment and nursing, the patient recovered and left the hospital.

关 键 词：多囊肝 肝移植 移植肝功能不全 呼吸衰竭 护理 

分 类 号：R473.57[医药卫生—护理学]