一例“无缺血”肝脏移植患者的围手术期护理

Perioperative nursing of a patient with ischemia-free liver transplantation

目的总结1例"无缺血"肝脏移植手术患者围手术期的护理方法。方法针对本疾病特点以及患者的个体情况制订实施护理措施:包括术前心理护理、术前准备、预防术后感染、细致的病情观察、移植肝功能观察、术后相关并发症的观察、早期康复活动指导、营养支持治疗、水电解质平衡护理。结果通过精心护理,此例患者恢复良好,未出现护理相关并发症,术后18 d顺利出院。结论针对此患者的病情以及个体情况,制订实施护理措施,可以有效预防感染,及时发现病情变化,了解移植肝功能恢复情况和对相关并发症的观察,有利于促进患者的早日康复。

Objective To summarize the perioperative nursing care of a patient with ischemia-free liver transplantation.Methods The nursing measures were developed according to the characteristics of the disease and the individual conditions of the patients: including preoperative psychological care;preoperative preparation;prevention of postoperative infection;meticulous observation of the patient′s conditions,transplanted liver function and postoperative complications;the early guidance of rehabilitation activity,nutritional support treatment and the care of water and electrolyte balance.Results The patient recovered well with careful nursing care and no nursing-related complications occurred,and he was discharged successfully on the 18th day after surgery.Conclusion According to the patient's condition and individual situation,the development of nursing measures can effectively prevent the potential infection,timely discover the changes of the patient′s condition,understand the recovery of the transplanted liver function and observe the related postoperative complications,and help to promote the early recovery of patients.