摘要
总结了1例成人接受儿童供者肾移植的护理要点。肾移植在临床中常用于终末期肾病患者,患者在接受肾移植治疗后,并不表示护理工作的完结,而是新阶段的开始。成人接受儿童供者肾移植由于较高的技术要求、术后并发症以及对远期预后的担忧,国外及国内移植中心报道的相关护理经验和疗效匮乏。本例针对儿童供者肾移植的特点,护理要点为严密的生命体征监测;严格的体液管理;预防并发症的护理及心理护理。经过积极治疗与精心护理,患者恢复良好,未出现并发症,情绪稳定,顺利转入普通病房继续治疗。
关键词: 肾移植护理;成人;儿童
Abstract
The main points of nursing care of an adult receiving renal transplantation from a child donor were summarized. Renal transplantation is often used in patients with end-stage renal disease. After receiving renal transplantation, it does not mean the end of nursing work, but the beginning of a new stage. Due to the high technical requirements, postoperative complications and concerns about long-term prognosis of adult renal transplantation from children donors, there is a lack of nursing experience and curative effect reported by foreign and domestic transplantation centers. According to the characteristics of renal transplantation for children donors, the key points of nursing were strict monitoring of vital signs; Strict management of body fluid; Prevention of complications of nursing and psychological nursing. After active treatment and careful nursing, the patient recovered well, no complications, emotional stability, smoothly transferred to the general ward for further treatment.
Key words: Renal Transplantation nursing; Adult; Children
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