基于显微外科技术的婴儿亲体肝移植术后并发症护理监测要点

Key points of nursing monitoring for complications after infant parent liver transplantation based on microsurgery technology

目的研究在基于显微镜外科技术的婴儿亲体肝移植术的并发症预防和护理要点。方法选取2019年1-12月在我院行肝移植术的患儿36例,移植后进行针对性护理。结果并发症发生率为16.67%;与术前相比,术后48 h患儿的凝血功能指标如凝血酶原时间时间(PT)、血小板计数、活化部分凝血活酶时间(APTT)、INR、凝血酶原活动度均有所改善;经随访1年,36例患儿在术后1年均存活,存活率100%。结论患儿术后48 h凝血功能均得到改善,术后采取了针对性护理,减少并发症的发生,有助于提升患儿存活率。

Objective To study the prevention and nursing points of complications in infant parental liver transplantation based on microscopic surgical techniques.Methods Thirty-six children who received liver transplantation in our hospital from January 2019 to February 2019 were selected,and targeted nursing care was given after transplantation.Results The complication rate was 16.67%.Compared with preoperation,the indexes of blood coagulation function,such as prothrombin time(PT),platelet count,activated partial thromboplastin time(APTT),INR and prothrombin activity,were improved 48h after operation.After 1 year follow-up,36 cases survived 1 year after operation,the survival rate was 100%.Conclusion The coagulation function of all the children was improved 48h after surgery,and targeted nursing was taken after surgery to reduce the incidence of complications,which is helpful to improve the survival rate of the children.