中华护理杂志2024,Vol.59Issue(22) :2731-2733.DOI:10.3761/j.issn.0254-1769.2024.22.006

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

沈小平 胡晨璐 俞倩
中华护理杂志2024,Vol.59Issue(22) :2731-2733.DOI:10.3761/j.issn.0254-1769.2024.22.006

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

沈小平 1胡晨璐 1俞倩1
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作者信息

  • 1. 310009 杭州市 浙江大学医学院附属第二医院护理部
  • 折叠

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.

Abstract

To summarize the nursing experience of a patient with bilothorax after autolo-gous liver transplantation.The key points of nursing include:early identification of reexpan-sion 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 adminis-tered 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

Key words

Liver Cancer/Liver Transplantation/Bilothorax/Nursing Care

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出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
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