摘要
1985～1997年应用同种牌移植治疗血友病甲10例，成功8例，失败2例。术后Ⅷ因子水平提高到29.1％～65．0％，临床症状明显改善，活动自如。最长已存活7年。重点阐述了护理要点：①术前加强心理护理，全方位了解患者及亲属的心理状况。②防止出血．术前须输注Ⅷ因子及综合止血。③术后重点观察体温、腹痛、脾肿大及排斥反应。观察出凝血时间，防止出血及感染、脾扭转等并发症。
Allogenous splenic transplantation ware performed in 10 patients with hemophilia A from 1985 to 1997.Of the 10 patients 8 cases succeeded in up-regulation of serum level of Ⅷ:factor(29.1%-65.0%)and significant im provement on clinical aigns.One case has survived over 7 yare.Vital points about the experience of nursing care were summmarized as follows:①Strengthening preoperatively psychological nursing,trying to comprehensively know the psychi atric conditions of the patients and their relatives;②Preoperatively intravenously infusing Ⅷ factor to avoid bleding;③ Monitoring rejection and postoperative complications such as infectias,hemorrhage and twist of splenic pedicle.Temper ature increasing,abdominal pain and spleen swelling would be considered as the aigns of rejection.Blotting time and clot ting time would be examined as well.
出处
《护理学杂志（综合版）》
1998年第3期134-135,共2页
Journal of Nursing Science
关键词
脾移植
血友病甲
护理
治疗
splenic allotransplantation
hemophilia A
nursing care
