Nursing care of a patient with severe aplastic anemia type Ⅱ treated with umbilical cord blood transfusion sequentially combined with second haploid allogeneic bone marrow transplantation
10.3760/cma.j.issn.1672-7088.2018.35.012
- VernacularTitle:一例脐血联合二次单倍体异基因骨髓移植治疗重型再生障碍性贫血-Ⅱ型患者的护理
- Author:
Xuelian ZHUANG
1
;
Hongxia LYV
;
Dong ZHOU
;
Jiajun XIE
;
Yan YANG
;
Jingjing ZHANG
Author Information
1. 116027,大连医科大学附属第二医院血液科 大连市血液病重点实验室 辽宁省造血干细胞移植医学中心
- Keywords:
Severe aplastic anemia type Ⅱ;
Allogeneic bone marrow transplantation;
Second bone marrow transplantation;
Nursing care for bone marrow transplantation
- From:
Chinese Journal of Practical Nursing
2018;34(35):2770-2774
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the nursing care for one successful haploidentical allogeneic bone marrow transplantation (haplo-BMT) for one patient with severe aplastic anemia type-Ⅱ (SAA-Ⅱ). The patient accepted an umbilical cord blood transfusion sequentially combined with the second haplo-BMT after an engraftment failure of the first haplo-BMT. The experience of nursing care will be discussed and shared for patients with a second haplo-BMT. Methods The comprehensive nursing cares were utilized during haplo-BMT, it included preventive measures for secondary infections, closely control of side effects, promptly nursing intervention for gastrointestinal mucositis, hemorrhagic cystitis and epilepsy, psychological nursing for appeasing emotional variations, and addition of intravenous indwelling needle if necessary. Results The patient achieved a successful stem cell engraftment and survived a long-term granulopenia (granulocytes＜0.1×109/L) which lasted for 52 days with a recovery of varied complications. Conclusion The comprehensive nursing care can reduce the risk for secondary infections and other complications, it shed a new light on second allogeneic bone marrow transplantation for complicated patients
