总结1例重度肝肺综合征患者行肝移植术后并发呼吸衰竭及肾功能不全的护理经验。护理要点包括:分阶段序贯式呼吸治疗与护理,提升氧合指数,促进肺康复;连续性肾脏替代治疗与护理,修复受损肾脏;分段式动态落实营养支持方案,加速康复进程;开展延续性护理提高居家照护能力。经多学科团队精心治疗与护理80 d,患者出院。随访12个月患者已脱离家庭氧疗,状态良好。

The nursing experience of one patient with severe hepatopulmonary syndrome who suffered from respiratory failure and renal insufficiency after liver transplantation were summarized.The key nursing measures included the following aspects: implementing phased sequential respiratory therapy and nursing care to improve oxygenation index and promote pulmonary rehabilitation; providing continuous renal replacement therapy and corresponding nursing intervention to repair impaired renal function; carrying out staged and dynamic nutritional support programs to accelerate the rehabilitation process; and conducting transitional care to enhance the ability of home-based care.With meticulous treatment and nursing care provided by the multidisciplinary team,the patient was discharged smoothly 80 days after admission.During the 12-month follow-up,the patient has weaned off home oxygen therapy and maintained a good general condition.

R473.6

吉林省卫生健康科技能力提升项目(2024A017)