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儿童肾移植围手术期护理规范专家共识

上海市护理学会外科护理专业委员会. 儿童肾移植围手术期护理规范专家共识[J]. 器官移植, 2023, 14(3): 343-351. doi: 10.3969/j.issn.1674-7445.2023.03.004
引用本文: 上海市护理学会外科护理专业委员会. 儿童肾移植围手术期护理规范专家共识[J]. 器官移植, 2023, 14(3): 343-351. doi: 10.3969/j.issn.1674-7445.2023.03.004
Surgery Nursing Committee of Shanghai Nursing Association. Expert consensus on perioperative nursing standards for pediatric kidney transplantation[J]. ORGAN TRANSPLANTATION, 2023, 14(3): 343-351. doi: 10.3969/j.issn.1674-7445.2023.03.004
Citation: Surgery Nursing Committee of Shanghai Nursing Association. Expert consensus on perioperative nursing standards for pediatric kidney transplantation[J]. ORGAN TRANSPLANTATION, 2023, 14(3): 343-351. doi: 10.3969/j.issn.1674-7445.2023.03.004

儿童肾移植围手术期护理规范专家共识

doi: 10.3969/j.issn.1674-7445.2023.03.004
基金项目: 

全军医学科技青年培训计划应用基础研究项目 21QNY041

海军军医大学“深蓝”护理科研项目 2022KYG24

海军军医大学第一附属医院“十四五”学科固海计划 院医【2021】133号

详细信息
  • 中图分类号: R617, R692

Expert consensus on perioperative nursing standards for pediatric kidney transplantation

  • 摘要: 儿童肾移植受者在原发病、生理、心理、器官功能和免疫状态等方面具有不同于成人的特点,其围手术期的治疗与护理过程与成人肾移植也不尽相同。为规范儿童肾移植围手术期的整体护理方案,上海市护理学会外科护理专业委员会组织全国移植领域相关医疗、护理专家共同撰写《儿童肾移植围手术期护理规范专家共识》(以下简称“共识”),经过3轮线上专家函询,对所有修改意见采用聚焦讨论联合文献佐证的方式形成一致意见,最终形成共识。共识针对儿童肾移植围手术期的治疗和护理重点予汇总和陈述,包含儿童肾移植术前评估、术前与术后护理3部分内容,具有较好的科学性和实用性。

     

  • 表  1  肾移植患儿漏服、多服或服用免疫抑制药呕吐的对症处理方法

    Table  1.   Symptomatic treatment of missing, overtaking or vomiting after taking immunosuppressant in pediatric kidney transplant recipients

    现象 对症处理方法
    漏服免疫抑制药 在4 h内,立即补服治疗剂量;
    在4~6 h,尽早先服药物全量,在下次给药时间服用半量;
    > 6 h,应尽早补服,适当推迟下次服药时间,2次服药间隔不小于8 h
    多服免疫抑制药 下一剂减少多服的药物;
    注意观察是否有新发的症状(药物相关不良反应),如有须及时到医院检查;
    在此期间不要检测药物浓度,因不能真实反映药物的代谢情况
    服用免疫抑制药后呕吐 0~10 min内呕吐,加服全量药物;
    10~30 min内呕吐,加服1/2量药物;
    30~60 min内呕吐,加服1/4量药物;
    > 60 min内呕吐,无须加服
    下载: 导出CSV
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  • 收稿日期:  2022-12-22
  • 刊出日期:  2023-05-15

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