摘要
目的探讨儿童尿毒症患者实施肾移植术的围手术期护理体会。方法回顾性分析2000年10月～2010年10月本院收治的13例儿童肾移植患者的临床资料,并总结术后护理要点。结果 13例患儿手术时间1.75～4h,中位时间2.37h;9例术后3～7d恢复肾功能,4例发生急性肾小管坏死,分别经5～11次连续肾脏替代疗法(continuous renal replacement therapy,CRRT)治疗后肾功能恢复正常,所有患儿均痊愈出院。随访1～10年,13例患儿1年人/肾存活率为92.3%/84.6%,其中9例患儿3年人/肾存活率为88.89%/77.78%,6例患儿5年人/肾存活率为66.67%/50.00%。结论儿童肾移植的围手术期护理有其特殊性,护理人员应根据患儿的特点展开术前后护理,做好出院的健康教育,保证患儿有良好的治疗依从性,其是儿童肾移植取得成功的关键。
Objective To explore the perioperative nursing of pediatric patients undergoing renal transplantation. Methods Retrospective analysis of clinical data of 13 children undergoing renal transplantation in our hospital from October 2000 to October 2010 was performed to summarize the postoperative nursing strategies. Results The operation duration for all cases was 1.75 ~ 4 h, median time 2.37 h. 9 of them had the renal function recovered 3 - 7 d after transplantation. 4 contracted acute tubular necrosis and had the renal function recovered via CRRT for 5 ~ 11 times. All of them were discharged after treatment successfully. By 1 ~ 10 years of follow-up, the one-year, three-year and five-year survival rates of person/graft were 92.3%/84.6%, 88.89%/77.78% and 66.67%/50.0%, respectively. Conclusions The perioperative nursing should be performed based on the characteristics of children nursi,,Qg. The enhanced discharge health education to ensure the curative compliance is critical for the success of renal transplantation.
出处
《现代临床护理》
2012年第2期21-23,共3页
Modern Clinical Nursing
关键词
儿童
肾移植
围手术期
护理
children
renal transplantation
perioperative period
nursing
