Nursing care for a child underwent lung retransplantation
10.3761/j.issn.0254-1769.2023.22.005
- VernacularTitle:1例二次肺移植患儿的护理
- Author:
Lingyun CAI
1
;
Fei ZENG
;
Jiangshuyuan LIANG
;
Xiuqin FENG
Author Information
1. 310000 杭州市 浙江大学医学院附属第二医院综合ICU
- Keywords:
Lung Transplantation;
Hematopoietic Stem Cell Transplantation;
Bronchiolitis Obliterans;
Rejection Reaction;
Critical Illness;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2023;58(22):2721-2725
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a child with pulmonary rejection after hematopoietic stem cell transplantation who underwent double lung transplantation and was complicated with bronchiolitis obliterans after lung transplantation and underwent second lung transplantation.The key points of nursing included:the implementation of step-wise lateral position and prone position alternate non-invasive mechanical ventilation to improve lung function;sequential airway clearance was used to control pulmonary infection;precise volume management to prevent pulmonary edema;to strengthen the observation and medication management,prevent hospital infection and rejection;to provide goal-oriented personalized nutritional support to improve nutritional status;psychological nursing measures were implemented to improve the treatment confidence and compliance of children;health education and follow-up management should be strengthened to improve the long-term quality of life.After active treatment and careful nursing,the child recovered and was discharged 26 days after surgery.
