儿童肾移植围手术期护理规范专家共识  

Expert consensus on perioperative nursing standards for pediatric kidney transplantation

作　　者：上海市护理学会外科护理专业委员会 李烟花 李海燕 曾力 陆徽徽[3] 陈锷[4] Surgery Nursing Committee of Shanghai Nursing Association(The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]不详 [2]海军军医大学第一附属医院,上海200433 [3]上海交通大学医学院附属仁济医院 [4]中山大学附属第一医院

出　　处：《器官移植》2023年第3期343-351,共9页Organ Transplantation

基　　金：全军医学科技青年培训计划应用基础研究项目(21QNY041);海军军医大学“深蓝”护理科研项目(2022KYG24);海军军医大学第一附属医院“十四五”学科固海计划(院医【2021】133号)。

摘　　要：儿童肾移植受者在原发病、生理、心理、器官功能和免疫状态等方面具有不同于成人的特点,其围手术期的治疗与护理过程与成人肾移植也不尽相同。为规范儿童肾移植围手术期的整体护理方案,上海市护理学会外科护理专业委员会组织全国移植领域相关医疗、护理专家共同撰写《儿童肾移植围手术期护理规范专家共识》(以下简称“共识”),经过3轮线上专家函询,对所有修改意见采用聚焦讨论联合文献佐证的方式形成一致意见,最终形成共识。共识针对儿童肾移植围手术期的治疗和护理重点予汇总和陈述,包含儿童肾移植术前评估、术前与术后护理3部分内容,具有较好的科学性和实用性。Pediatric kidney transplant recipients differ from adult counterparts in primary disease,physiology,psychology,organ function and immune status and their perioperative treatment and nursing management are different from those of adult kidney transplantation.To standardize holistic perioperative nursing regimens for pediatric kidney transplantation,Surgery Nursing Committee of Shanghai Nursing Association organized national medical and nursing experts in the fields of transplantation to jointly draft"expert consensus on perioperative nursing standards for pediatric kidney transplantation"(abbreviated as"consensus").After three rounds of online expert inquiry,all revised opinions were jointly discussed combined with literature evidence,and the expert consensus was finally reached.The highlights of perioperative treatment and nursing care for pediatric kidney transplantation were summarized and stated,including preoperative evaluation,preoperative and postoperative nursing care,which were of scientific and practical value.

关 键 词：儿童肾移植 终末期肾病 护理 人类白细胞抗原 群体反应性抗体 中心静脉导管(CVC) 经外周静脉置入中心静脉导管(PICC) 抗胸腺细胞球蛋白 

分 类 号：R617[医药卫生—外科学] R692[医药卫生—临床医学]