Nursing care of patients with acute appendicitis after orthotopic liver transplantation
10.3760/cma.j.issn.1674-2907.2010.15.009
- VernacularTitle:肝移植术后早期并发急性阑尾炎的护理
- Author:
Qiu-Jiang DOU
1
;
Hai-Dan YE
;
Ying-Cui LIU
;
Li-Zhen ZENG
;
Lin-Wei WU
;
Jian ZHOU
Author Information
1. 510080,广州,中山大学附属第一医院器官移植中心
- Keywords:
Liver transplantation;
Acute appendicitis;
Nursing care
- From:
Chinese Journal of Modern Nursing
2010;16(15):1769-1771
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the nursing care of acute appendicitis after orthotopic liver transplantation. Methods Clinical data and nursing experience of 3 liver transplantation recipients who complicated acute appendicitis and 4 cases who misdiagnosed acute appendicitis in the early postoperative period in our hospital were retrospectively analyzed. Results Three of which initially presented the symptoms of acute appendicitis in 8 d, 9 d and 13 d respectively after liver transplantation, including right lower quadrant paroxysmal pain, fever, and was emergently performed appendectomy and then got recover well. Of another 4 cases, duodenal diverticulum complicated perforation in 1 case in 9d and jejunum perforation in 1 case in 6d and bile leakage in another two cases respectively in 5d and 11d after liver transplantation. Conclusions Morbidity rate of acute appendicitis was low after liver transplantation, but it always had a severe situation, and immediately needed to be operated once diagnosed, which benefits for patients' recovery. Careful nursing management is very important for the immediate diagnosis of receipts complicated acute appendicitis and also enhanced the recipients' success rate after liver transplantation.
