肝脏囊腺瘤患者行离体肝切联合自体肝移植一例的护理  

Nursing Care of a Patient with Giant Cystadenoma of the Liver Treated with Isolated Hepatectomy Combined with Autologous Liver Transplantation

作　　者：钟涛 赖丹妮[2] 彭雨馨 徐璇 付光蕾[3] ZHONG Tao;LAI Danni;PENG Yuxin;XU Xuan;FU Guanglei(College of Nursing,Jinan University,Guangzhou 510632,Guangdong Province,China;Hepatology Surgery District 1,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510000,Guangdong Province,China;Infectious Disease Department,The First Affiliated Hospital of Jinan University,Guangzhou 510630,Guangdong Province,China)

机构地区：[1]暨南大学护理学院,广东广州510632 [2]中山大学附属第三医院肝脏外科一区,广东广州510630 [3]暨南大学附属第一医院感染科,广东广州510630

出　　处：《军事护理》2025年第3期113-116,共4页MILITARY NURSING

基　　金：中山大学附属第三医院护理科研基金资助项目(2020HL10)。

摘　　要：总结1例肝脏囊腺瘤患者接受离体肝切除联合自体肝移植术的护理经验。护理要点包括:在血栓高危期实施预见性护理,以降低术后血栓风险;进行精准的容量管理,预防小肝综合征;严密监测病情,及时处理胆道吻合口狭窄及胆漏;提供目标导向的个性化营养支持,改善患者营养状况;加强气道管理,有效控制肺部感染;实施分阶段运动训练,促进快速康复;提供出院准备服务,制订完善的延续护理计划。经过精心的治疗与护理,患者于术后39 d病情好转并出院。随访至术后5个月,患者状态良好。To summarize the nursing experience of isolated liver tumor resection combined with autologous liver transplantation in a patient with giant cystadenoma of the liver.The key points of nursing included:implementing anticipatory care during the high-risk period of thrombosis to reduce the risk of postoperative thrombosis;precise volume management to prevent small liver syndrome;close monitoring of the condition,dealing with biliary anastomotic stenosis and bile leakage in a timely manner;providing goal-oriented and personalized nutritional support to improve the nutritional status;strengthening sequential airway contouring to prevent lung infections;implementing exercise in stages to promote the rapid recovery;providing discharge preparation services and continuity of care program.After careful treatment and care,the patient recovered and was discharged 39 days after surgery.The patient was followed up until 5 months after the operation and were in good condition.

关 键 词：自体肝移植 囊腺瘤 快速康复 围术期护理 营养护理 

分 类 号：R473.6[医药卫生—护理学]