2例心脏移植患者术后早期感染带状疱疹病毒致延迟撤机的护理

Nursing care of 2 heart transplant patients with prolonged weaning due to early postoperative infection with herpes zoster virus

总结2例心脏移植患者术后早期感染带状疱疹病毒致延迟呼吸机撤机的护理。护理要点:成立移植管理团队全程细化管理,针对疱疹发展过程的2个时期,发作期严格落实医院感染防控制度、全身抗病毒治疗、皮肤管理、镇痛;愈合期进行阶梯镇痛及多学科合作进行康复训练。经过积极的治疗和护理,2例均成功撤机、转科,康复出院。

To summarize the nursing care of 2 patients with prolonged weaning due to early infection with herpes zoster virus after heart transplantation.Nursing points include the establishment of a transplantation management team to refine the management throughout the whole process;the strict prevention and control of the nosocomial infection,systemic antivirus therapy,skin management,analgesia and sleep management for the 2 stages of herpes development;step analgesia and multidisciplinary cooperation for rehabilitation training during healing period.After active treatment and nursing care,the 2 patients were weaned successfully from the ventilator and transferred to a general department.At present,they have recovered and are discharged from the hospital.