一例肝糖原累积症患者肝移植术后继发腹腔出血及脑出血的护理

Nursing care of a patient with hepatic glycogen storage disease complicated by secondary intra-abdominal hemorrhage and cerebral hemorrhage after liver transplantation

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DOI 10.12208/j.ijnr.20260193
刊名
International Journal of Nursing Research
年,卷(期) 2026, 8(4)
作者
作者单位

中山大学附属第一医院护理部 广东广州;

摘要
总结1例肝糖原累积症患者肝移植术后继发腹腔出血及脑出血的护理经验。护理要点包括:术前预警低血糖的发生,为手术创造条件,术后警惕高血糖,维持血糖稳定;早期识别腹腔出血,快速响应抢救流程;明确癫痫发作的病因,有效控制脑出血;精细化监测凝血功能,预防再次出血及血栓形成;动态化营养支持,改善患者营养状况。经积极的治疗和护理,患者术后第47天康复出院,随访6个月,恢复良好。
Abstract
To summarize the nursing experience for a patient with hepatic glycogen storage disease complicated by secondary intra-abdominal hemorrhage and cerebral hemorrhage after liver transplantation. The key points of nursing include: warning of hypoglycemia before surgery to create favorable conditions for the operation; being vigilant of hyperglycemia after surgery to maintain stable blood sugar levels; early identification of abdominal hemorrhage and rapid response to the rescue process; clarifying the cause of epileptic seizures and effectively controlling cerebral hemorrhage; meticulous monitoring of coagulation function to prevent rebleeding and thrombosis; dynamic nutritional support care to improve the patient's nutritional status. Through active treatment and nursing, the patient recovered and was discharged 47 days after the operation. Follow-up for 6 months showed good recovery.
关键词
肝糖原累积症;肝移植;腹腔出血;脑出血;护理
KeyWord
Hepatic glycogen storage disease; Liver transplantation; Intra-abdominal hemorrhage; Cerebral hemorrhage; Nursing care
基金项目
页码 91-93
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叶海丹, 于瑞, 张海雪, 张利姗. 一例肝糖原累积症患者肝移植术后继发腹腔出血及脑出血的护理 [J]. 国际护理学研究. 2026; 8; (4). 91 - 93.

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