1.The observation of a case of simultaneous pancreas-duodenum-kidney transplantation with enteric drainage
Dianzhen WANG ; Xiongfei WU ; Lianhui FAN
Journal of Medical Postgraduates 2001;14(3):232-234
Objectives:To discuss the observation of patients receiving simultaneous pancreas-kidney transplantation for insulin-dependent diabetes mellitus complicated with end-stage renal failure. Methods:The patient received simultaneous pancreas-kidney transplantation with enteric drainage of exocrine pancreatic secretions. Results:The important aspects were as follows: monitoring the functions of the transplanted pancreas and kidney, observing the early characteristics of rejection, especially the pancreas, preventing thrombosis of blood vessels of the transplanted pancreas, digestive tract hemorrhage,pancreatitis, and preventing duodenal fistula. Conclusion:By careful clinical observation, postoperative complications could be found earlier, which aided the treatment and improved the prognosis.
2.Special nursing for 101 patients with pulmonary edema related to uremia
Dianzhen WANG ; Hongwen ZHAO ; Yi WU ; Aihua XU ;
Journal of Third Military Medical University 2002;0(12):-
Objective To explore special nursing measures for patients with pulmonary edema related to uremia. Methods Treatment and nursing were performed on 101 patients with pulmonary edema related to uremia. Results Of the 101 patients, 84 cases were rescued successfully, 13 cases were dead and 3 cases were discharged automatically. Conclusion When nursing for patients with pulmonary edema related to uremia, besides general nursing measures, the following aspects should be included: ① specially observing the blood pressure, arterial blood oxygen saturation and urine volume of patients; ② controlling the blood pressure of patients effectively; ③ dialysing or ultrafiltrating in proper manner and at proper time, meanwhile nursing carefully during dialysis; ④ ameliorating the general nutritional status of patients to prevent infection of the lungs; ⑤ keeping firmly in mind the care program: postur sucking oxygen drugs of vasodilatation hemodialysis; ⑥ controlling water drinking.