摘要
报告了1例合并门脉性肺动脉高压肝移植术后患者的护理方法。门脉性肺动脉高压在临床相对少见,起病隐匿,涉及多个学科,尚未引起临床上的重视,易误诊、漏诊,在评估肝移植手术的患者中有4%-6%的发病率。针对本例患者病情特点,护理要点为:在加速康复外科理念下,给予疼痛与睡眠管理、营养支持、早期活动,促进患者术后快速康复。经过5d积极治疗和精心护理,患者恢复良好,顺利转入普通病房继续治疗。
关键词: 门脉性肺动脉高压;肝移植术;ERAS理念;护理
Abstract
The nursing method of one patient with portal pulmonary hypertension after liver transplantation was reported. Portal pulmonary hypertension is relatively rare in clinical practice, with hidden onset, involving multiple disciplines, and has not attracted clinical attention. It is prone to misdiagnosis and missed diagnosis, with a incidence rate of 4%-6% in patients evaluated for liver transplantation. According to the characteristics of the patient's condition, the key points of nursing care are as follows: under the concept of accelerated rehabilitation surgery, pain and sleep management, nutritional support, and early activities are given to promote the patient's rapid postoperative recovery. After 5 days of active treatment and careful nursing, the patient recovered well and was transferred to the general ward for further treatment.
Key words: Portopulmonary Hypertension; Liver Transplantation; Eras Concept; Nursing
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