经皮经肝门静脉自体骨髓干细胞移植患者的护理

Nursing of percutaneous and transhepatic portal venous autologous bone marrow stem cell transplantation

目的总结自体骨髓干细胞经皮经肝门静脉移植治疗慢性肝衰竭的护理体会。方法对19例确诊为慢性肝衰竭的患者，经门静脉植入自体骨髓干细胞，在手术不同时期实施针对性的护理。结果19例患者均安全度过围手术期，未出现不良反应及并发症。结论在自体骨髓干细胞移植治疗慢性肝衰竭过程中，术前的充分准备，术中医护患的良好沟通及密切配合，术后的精心护理和康复指导，是自体骨髓干细胞移植得以顺利进行的重要保证。

Objective To summarize the nursing experience of treatment of percutaneous and transhepatic portal venous autologous bone marrow stem cell transplantation for chronic hepatic failure. Methods 19 patients who were definitely diagnosed as chronic liver failure received pertinent nursing in different perioperative period of transhepatic portal venous autotogous bone marrow stem cell transplantation. Results All of the 19 patients went through perioperative period safely without any adverse reactions or complications. Conclusions In the process of treatment of autologous bone marrow stem cell transplantation for chronic hepatic failure, sufficient preoperative preparation, good communication and close cooperation among doctors, nurses and patients during operation, careful nursing and rehabilitation instruction after operation, are important assurances for autologous bone marrow stem cell transplantation to run smoothly.