中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (10): 799-780.doi: 10.3969/j.issn.1671-4091.2024.10.015

• 短篇报道 • 上一篇    

1例行同种异体肝移植手术患者手术中连续性肾脏替代治疗的护理报道

曹培叶    王 磊    杜慧明    陈 娜   

  1. 100044 北京，1北京大学人民医院肾内科
  • 收稿日期:2024-04-23 修回日期:2024-06-28 出版日期:2024-10-12 发布日期:2024-10-12
  • 通讯作者: 王磊 E-mail:bjwangl@163.com

Nursing care of a patient with continuous renal replacement therapy during allogeneic liver transplantation

CAO Pei-ye, WANG Lei, DU Hui-ming, CHEN Na   

  1. Department of Nephrology, Peking University People’s Hospital, Beijing 100044, China
  • Received:2024-04-23 Revised:2024-06-28 Online:2024-10-12 Published:2024-10-12
  • Contact: 100044 北京，1北京大学人民医院肾内科 E-mail:bjwangl@163.com

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摘要： 总结1例终末期肝病合并肾功能不全患者在同种异体肝移植手术中连续性肾脏替代治疗(continuous renal replacement therapy，CRRT)的护理经验。护理要点包括：根据手术室感染控制要求进行上机操作；采用预冲有抗凝+治疗无抗凝的治疗护理方案；无肝期根据重点监测指标变化及时调整治疗参数；分析报警类型，建立报警预处理流程。最终患者手术7 h，CRRT总治疗时间9 h，过程顺利。

关键词: 肝移植术, 连续性肾脏替代治疗, 护理

Abstract: To summarize the nursing experience of a patient with end-stage liver disease and renal insufficiency who underwent continuous renal replacement therapy (CRRT) during allogeneic liver transplantation. The nursing key points include operating the machine compliant with the aseptic requirements in operating room, adopting a nursing plan for pre-flushing with anticoagulant and treatment without anticoagulant, timely adjusting treatment parameters according to the changes of key monitoring indicators during anhepatic phase, and analyzing the type of alarms and establishing a procedure for preprocessing an alarm. The patient underwent a liver transplantation surgery for 7 hours, and the total treatment time for CRRT was 9 hours with a smooth disease course.

Key words: Liver transplantation surgery, Continuous renal replacement therapy, Nursing

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