肝肾移植术后狒狒巴拉姆希阿米巴感染3例患者的护理

Nursing care of 3 patients with Balamuthia mandrillaris infection after liver or kidney transplantation

目的总结3例器官移植(1例二次肝移植、2例肾移植)术后狒狒巴拉姆希阿米巴感染患者的护理体会。方法对广西医科大学第一附属医院2022年10月收治的3例器官移植术后狒狒巴拉姆希阿米巴感染患者进行个性化护理。护理要点:了解疾病,早期识别狒狒巴拉姆希阿米巴感染;消毒隔离,预防交叉感染;严密监测患者病情变化,做好各项治疗和护理措施。结果经过积极的治疗和护理,最终1名患者死亡,1名患者病情加重、家属签字放弃治疗并办理出院,1名脱离危险病情稳定后转回病房。结论针对此3例狒狒巴拉姆希阿米巴感染患者实施个性化且全面的护理措施,能改善患者预后,提高患者存活率。

Objective To summarize the nursing experience of 3 patients with Balamuthia mandrillaris infection after organ transplantation(1 case of secondary liver transplantation,2 cases of kidney transplantation).Methods The personalized nursing care was provided to 3 Balamuthia mandrillaris infected patients admitted to the First Affiliated Hospital of Guangxi Medical University in October 2022 after organ transplantation.The key points of nursing care:understanding the disease and early identification of Balamuthia mandrillaris infection;disinfecting and isolating to prevent cross-infection;closely monitoring the changes in patients′condition and implementing various treatment and nursing measures.Results After active treatment and care,1 patient died,1 patient′s condition worsened and his family signed to give up treatment and discharged,and 1 patient was transferred back to the ward after being out of danger and in stable condition.Conclusions Individualized and comprehensive nursing measures for these 3 Balamuthia mandrillaris infected patients can improve the prognosis and survival rate of patients.