1例自体肝移植术后并发胆汁性胸腔积液患者的护理  

Nursing care of a patient with bilothorax after autologous liver transplantation

作　　者：沈小平 胡晨璐[1] 俞倩 SHEN Xiaoping;HU Chenlu;YU Qian

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009

出　　处：《中华护理杂志》2024年第22期2731-2733,共3页Chinese Journal of Nursing

基　　金：浙江省教育厅项目(Y202352112)。

摘　　要：总结1例自体肝移植术后并发胆汁性胸腔积液患者的护理经验。护理要点:早期识别复张性肺水肿,启动院内快速反应系统,开展高效救护;尽早识别胆汁性胸腔积液,维持有效引流,进行精准抗感染治疗;实施个体化分阶段肺康复方案;开展阶梯性抗凝治疗,动态监测出血征象。通过精心的治疗与护理,患者术后63 d带胸腔引流管出院。To summarize the nursing experience of a patient with bilothorax after autologous liver transplantation.The key points of nursing include:early identification of reexpansion pulmonary edema,the start of the hospital rapid response team to give efficient rescue;early identification of bilothorax,and maintenance of effective drainage combined with accurate anti-infection treatment;individual and stage lung rehabilitation training to promote patients lung rehabilitation;step anticoagulant therapy is safely administered under dynamic assessment of bleeding risk.Through careful treatment and nursing,the patient was discharged 63 days after surgery.

关 键 词：肝癌 肝移植 胸腔积液 护理 

分 类 号：R473.6[医药卫生—护理学]