Nursing coordination for a liver transplant surgery in a patient with acute liver failure during the second trimester of pregnancy
10.3761/j.issn.0254-1769.2025.12.015
- VernacularTitle:1例妊娠中期合并急性肝衰竭患者行肝移植手术的护理配合
- Author:
Qiuxiang WANG
1
;
Chengdong ZHANG
1
;
Xinyi ZHANG
1
;
Yuntao MAO
1
Author Information
1. 31000杭州市 浙江大学医学院附属第一医院手术室
- Publication Type:Journal Article
- Keywords:
Acute Liver Failure;
Mid Pregnancy;
Liver Transplantation;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2025;60(12):1504-1507
- CountryChina
- Language:Chinese
-
Abstract:
Summary of nursing experience was conducted in a case of emergency liver transplantation during the second trimester of pregnancy complicated by acute liver failure.The key nursing points are as follows:preoperative participation in multidisciplinary discussions and emergency plan desktop exercises;preparation of preoperative equipment and supplies.Intraoperative fetal protection at critical stages,prevention and management of hyperkalemia,correction of coagulation function,maintenance of circulatory stability,implementing anticipatory surgical coordination to curtail operative duration,and prevention of perioperative hypothermia under a proactive nursing model.Through multidisciplinary team collaboration and meticulous nursing care,the patient recovered well 8 days postoperatively and successfully delivered a female infant via cesarean section.The patient was transferred back to the general ward 8 days after the cesarean section and was discharged 47 days postoperatively.Follow-up for over 2 months showed good recovery for both the patient and the infant.
