肝母细胞瘤患儿移植护理研究进展  

Progress in nursing research for children with hepatoblastoma after liver transplantation

作　　者：陆晔峰[1,2] 王贝贝 王艳[1,2] Lu Yefeng;Wang Beibei;Wang Yan(Department of Nursing,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China;Department of Liver Surgery,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,200127 [2]上海交通大学医学院附属仁济医院肝脏外科,200127

出　　处：《中华移植杂志(电子版)》2024年第6期412-416,共5页Chinese Journal of Transplantation(Electronic Edition)

基　　金：上海交通大学医学院护理学科建设项目(沪交医护,2022,1号);2023年度上海交通大学医学院护理科研重中之重项目(Jyhz2302);上海交通大学护理学院重点学科团队项目(沪交护,2024,6号)。

摘　　要：肝母细胞瘤(HB)是儿童恶性肝脏肿瘤中最常见的一种。辅助化疗和新辅助化疗可显著提高HB患儿生存率。但对局部晚期或难治性HB而言,肝移植是关键治疗策略之一。本文聚焦HB患儿这一人群,对HB临床症状、诊疗护理等方面进行综述,介绍HB切除术及化疗后的护理措施,强调HB患儿行肝移植术后护理重点,重点阐述术后护理质控标准、围手术期护理、免疫抑制剂管理和随访管理等方面,以期为我国HB肝移植术后患儿护理提供参考。Hepatoblastoma(HB)is the most common type of malignant liver tumor in children.Adjuvant chemotherapy and neoadjuvant chemotherapy can significantly increase the survival rate of children with HB.But for locally advanced or refractory HB,liver transplantation is one of the key treatment strategies.This article delves into the population of children with HB,offering an indepth review of the clinical symptoms,diagnosis,treatment,and nursing care involved in managing this condition.It specifically highlights the importance of nursing measures following HB resection and chemotherapy,as well as the key nursing considerations for children with HB after undergoing liver transplantation.The article also underscores the significance of postoperative nursing quality control standards,perioperative nursing protocols,proper management of immunosuppressive agents,and thorough follow-up care.By outlining these essential elements,this article aims to provide valuable insights for the establishment of standardized nursing practices for children with HB after liver transplantation in China.

关 键 词：肝母细胞瘤 儿童 肝移植 护理 

分 类 号：R47[医药卫生—护理学]