Nursing care of a patient with acute liver failure caused by K-amine poisoning undergoing liver transplantation
10.3760/cma.j.cn211501-20221201-03664
- VernacularTitle:K胺中毒致急性肝衰竭行肝移植术患者的护理1例
- Author:
Lin ZHANG
1
;
Fangyan LU
;
Lu LU
;
Luyang LYU
Author Information
1. 浙江大学医学院附属第一医院肝移植病房，杭州 310003
- Keywords:
Liver failure, acute;
Liver transplantation;
Nursing care;
2-amino-5-chloro-N,3-dimethylbenzamide
- From:
Chinese Journal of Practical Nursing
2023;39(27):2146-2150
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the nursing experience of liver transplantation in a patient with acute liver failure, renal injury, shock, hepatic encephalopathy and hyperlactic acidemia caused by K-amine poisoning.Methods:A case of severe K-amine poisoning admitted to the First Affiliated Hospital of Zhejiang University Medical College on June 29, 2022 was treated by multidisciplinary team cooperation. The treatment scheme of blood purification combined with liver transplantation was adopted, individualized nursing measures were implemented, including fluid resuscitation, blood purification, prevention and treatment of complications such as brain edema and infection of hepatic encephalopathy, immunosuppressive treatment after liver transplantation, occupational protection, health education and follow-up management.Results:After careful treatment and nursing, the liver and kidney function of the patient recovered smoothly and was discharged on the 33rd day after liver transplantation.Conclusions:In view of the rapid progress of acute liver failure caused by K-amine poisoning and the involvement of multiple organs, blood purification combined with liver transplantation successfully saved the lives of patients under the cooperation of multidisciplinary teams. Do a good job in disease monitoring and individualized nursing to improve the long-term survival rate of patients.
