摘要
总结1例因常染色体基因突变导致肺囊性纤维化患儿接受双肺移植术的护理体会。针对儿童体重较轻、围手术期管理难度大等特点,采取目标导向性容量管理,以护士为主导重塑咳嗽反射,有效的体位引流及渐进式肺复张训练管理,消化道并发症诊治及护理,免疫抑制药物护理等。经过24 d的住院治疗与护理,患儿顺利出院。
To review the nursing experience of a child with pulmonary cystic fibrosis caused by autosomal gene mutations and undergoing bilateral lung transplantation.Aiming at the characteristics of the child such as low weight and difficult perioperative management,we adopted goal-ori-ented volume management,and nurse-led cough reflex remodeling,effective posture drainage and progressive lung re-cruitment training management.Treatment and nursing of digestive tract complications,and immunosuppressive drug care were also implemented.After 24 days of hospitalization and nursing,the child was discharged smoothly.
作者
林闰麒
孙东旭
王智
曾妃
LIN Runqi;SUN Dongxu;WANG Zhi;ZENG Fei
出处
《中华急危重症护理杂志》
CSCD
2023年第7期607-609,共3页
Chinese Journal of Emergency and Critical Care Nursing
关键词
肺移植
囊性纤维化
气道管理
危重病护理
Lung Transplantation
Cystic Fibrosis
Airway Management
Critical Care Nursing
