1例活体小肠移植术后并发血管吻合口血栓患儿的护理  

Clinical analysis of a child with vascular anastomotic thrombosis after living donor small bowel transplantation

作　　者：卢露 卢芳燕 姚彩萍 陶玉侠 张婉莹 戴燕红[1] LU Lu;LU Fangyan;YAO Caiping;TAO Yuxia;ZHANG Wanying;DAI Yanhong

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：《中华护理杂志》2023年第5期605-608,共4页Chinese Journal of Nursing

基　　金：浙江省卫生健康科技计划项目(2021KY690)。

摘　　要：总结1例活体小肠移植术后并发血管吻合口血栓患儿的护理措施。护理要点:尽早识别血管吻合口血栓,快速启动急救措施;采取负压封闭引流治疗,及时处理切口感染;实施个体化营养支持方案,改善营养状况;加强观察,动态监测免疫抑制剂血药浓度,警惕发生排异反应;关注患儿心理健康,提供心理支持;制订随访计划,做好延续性护理。经过29 d的积极治疗和精心护理,患儿病情好转,顺利转入普通病房,术后67 d康复出院。出院后2个月随访时,患儿肠功能恢复良好,能自行经口进食。To summarize the nursing care of a child with vascular anastomotic thrombosis after living small bowel transplantation.Essentials for nursing care:early identification of vascular anastomotic thrombosis and emergency care;negative pressure occlusion drainage therapy to timely treatment of incision infection;implementing individualized nutrition support programmes to improve nutritional status;dynamic monitoring of immunosuppressant plasma concentration,and being vigilant for rejection reaction;paying attention to the mental health of children and providing psychological support;developing a follow-up plan for continuity of care.After 29 days of careful treatment and nursing care,the child’s condition improved and was successfully transferred to the general ward,and discharged 67 days after surgery.At 2 months of follow-up after discharge,the intestinal function of the child recovered well,and the child can eat by himself presently.

关 键 词：小肠移植 血管吻合口 血栓形成 儿科护理学 

分 类 号：R473.72[医药卫生—护理学]