肝移植术后患者合并杜氏病诱发上消化道出血的急救与护理1例

First aid and nursing care of a patient with upper gastrointestinal bleeding induced by Dieulafoy disease after liver transplantation

目的总结1例肝移植术后患者并发杜氏病诱发上消化道出血的急救护理与临床实践。方法2021年11月22日吉林大学第一医院收治1例肝移植术后合并杜氏病诱发上消化道出血的患者,给予一系列治疗及护理措施,包括:识别出血表现、给予急救护理措施、营养支持治疗、建立感染防控体系、实施俯卧位通气及肺功能康复、精准免疫抑制治疗、多模式全程心理护理。结果经过58 d的精心治疗及护理,患者康复出院。结论杜氏病属于危急疾病,对于合并此类疾病的肝移植患者,早期明确诊断,并给予针对性的急救与预见性护理是促进患者康复的关键。

Objective To summarize the first aid and nursing experience of a patient with upper gastrointestinal bleeding induced by Dieulafoy disease after liver transplantation.Methods One case with upper gastrointestinal bleeding induced by Dieulafoy disease after liver transplantation was given a series of treatment and nursing measures,including identify bleeding manifestations,providing emergency nursing measures,nutritional support treatment,establishing infection prevention and control system,implementing prone ventilation and pulmonary function rehabilitation,precise immunosuppressive therapy,various forms of psychological care in the First Hospital of Jilin University in November 22,2021.Results After 58 d of careful treatment and nursing,the patient recovered and was discharged.Conclusions Dieulafoy disease is a critical disease,and early diagnosis and targeted first aid and predictive care for liver transplant patients with such diseases are the key to promoting recovery.