2例异基因造血干细胞移植术后移植物抗宿主病患者行肺移植术的护理

Nursing care of 2 cases of lung transplantation patients with graft-versus-host disease after allogeneic hematopoietic stem cell transplantation

总结2例异基因造血干细胞移植术后移植物抗宿主病患者行肺移植术的护理经验。护理要点包括排异反应的观察及预防;严格落实防控措施,降低感染风险;通过各种康复训练,促进呼吸功能恢复;进行营养筛查,制订营养支持计划;及时评估心理状态,个体化靶向心理疏导等。经过积极的治疗和护理,2例患者恢复良好,顺利转出监护室。

To summarize the nursing experience of 2 cases of lung transplantation in patients with versus host disease after allogeneic hematopoietic stem cell transplantation.Nursing points include observation and prevention of rejection reaction;strictly implementing prevention and control measures to reduce the risk of infection;through various rehabilitation training,promoting the recovery of respiratory function;conducting nutritional screening and developing nutritional support programmes;timely assessment of psychological state,individual psychological counseling.With aggressive treatment and care,2 patients recovered well and were transferred out of the intensive care unit.