6例同种异体序贯式双肺移植术后患儿的康复护理

Rehabilitation care of 6 children after sequential double lung transplantation

总结6例同种异体序贯式双肺移植术后患儿的康复护理经验。护理要点:组建儿童肺移植康复管理团队;实施精准化的液体容量管理,预防肺水肿;落实感染预防策略,降低感染发生风险;加强病情监测及药物管理,预防排斥反应及药物相关不良反应;通过趣味游戏,引导患儿实施呼吸训练;增添童趣元素,促进无创机械通气平稳进行;通过同伴支持,提升患儿对早期活动的依从性;加强出院宣教,提升出院后患儿的照护质量。经个性化的康复护理,所有患儿均顺利出院。

Rehabilitation care of 6 children after sequential double lung transplantation was summarized.Key points:to establish a pediatric lung transplant rehabilitation team,to implement precise liquid volume management to prevent pulmonary edema,to implement infection prevention strategies to reduce the risk of infection,to strengthen disease monitoring and drug management to prevent acute rejection and drug-related adverse reactions,to guide children to implement respiratory training through fun games,to promote non-invasive ventilation smoothly through adding childlike elements,to promote early activities through peer encouragement,to strengthen discharge education and follow-up to improve the quality of life of children after discharge.After the personalized and precise rehabilitation nursing,all the children were discharged successfully.