摘要
目的分析肾移植术后发生急性排斥反应临床表现,总结护理措施。方法回顾性分析25例肾移植术后发生急性排斥反应患者的临床资料。结果本组25例患者中,23例尿量<1 000 m L/d,15例出现不同程度体温升高,2例下肢水肿;15例肾移植区胀痛,10例腹胀。经系统治疗和护理,22例移植肾功能恢复正常,1例肾周血肿,剖腹探查止血后出血停止,肾功能逐渐恢复;1例反复肾破裂出血合并严重肺部感染导致死亡;1例切除移植肾,恢复血液透析。结论肾移植术后应加强患者出入量及生命体征的监测,了解患者心理状态,合理运用免疫抑制剂,积极预防并发症。
Objective To analyze the clinical feature of acute rejection after renal transplan- tation, and to summarize the corresponding nursing measures. Methods To retrospectively collect the clinical data of 25 patients with acute rejection after renal transplantation. Results Of 25 patients in- cluded in this study, 23 cases with urine volume less than 1 000 mL per day, 15 cases with increased body temperature, 2 cases with limb edema. There were 15 cases with renal graft pain and 2 cases with abdominal distension. The renal function of 22 patients were recovered after treatment, One case with perirenal hematoma was received exploratory laparotomy, one case died from renal rupture and severe pulmonary infection, one case received hematodialysis after excision of kidney graft. Conclusion Early detection and identification of acute rejection, understanding patients＇ psychological status, proper use of immunosuppressive agents and prevent ion on complications are key points in nursing care of patients after renal transplantation.
出处
《中西医结合护理（中英文）》
2016年第8期94-95,共2页
Journal of Clinical Nursing in Practice
关键词
肾移植
急性排斥反应
尿量
感染
kidney transplant
acute rejection
urine volume
infection
