护理学报2025，Vol.32Issue(10)：76-78,3.DOI:10.16460/j.issn2097-6569.2025.10.076
1例无缺血肝移植联合胰岛移植术后患者抗凝治疗的护理
Nursing care for anticoagulation therapy after ischemia-free liver and pancreatic islet transplantation:a case report
摘要
Abstract
Objective To summarize the nursing experience of individualized anticoagulation therapy for one patient undergoing ischemia-free liver transplantation(IFLT)combined with pancreatic islet transplantation.Methods Key postoperative nursing interventions for the patient undergoing IFLT-islet transplantation in September 2023 included:(1)dynamic monitoring of coagulation profiles for guiding precise anticoagulation therapy to prevent portal vein thrombosis(PVT),hepatic artery thrombosis(HAT),and hemorrhagic complications;(2)identification of high-risk factors combined with targeted interventions to mitigate deep vein thrombosis(DVT)risk.Results Through these measures,the patient achieved full functional recovery,and discharged on 17 days after surgery,without thrombotic or hemorrhagic events during hospitalization.During 1-year follow-up,the patient demonstrated sustained graft viability.Conclusion Nursing care for individualized anticoagulation protocol is critical for preventing vascular complications for IFLT-islet transplantation recipients,effectively promoting graft success and supporting patient recovery.关键词
无缺血肝脏移植/胰岛移植/抗凝治疗/护理Key words
ischemia-free liver transplantation/pancreatic islet transplantation/anticoagulation therapy/nursing分类
医药卫生引用本文复制引用
张福如,叶海丹,罗新春,于瑞,章旭之,张利姗..1例无缺血肝移植联合胰岛移植术后患者抗凝治疗的护理[J].护理学报,2025,32(10):76-78,3.基金项目
广东省岭南南丁格尔护理研究院、广东省护理学会2023年度护理创新发展研究课题(YJYM202321) （YJYM202321）
