心脏死亡器官捐献肾移植受者术后腹泻的原因分析 - 现代临床护理杂志.pdf

现代临床护理（Modern Clinical Nursing）2013.12（10） 42 心脏死亡器官捐献肾移植受者术后腹泻的原因分析及护理 伍梅娟，廖苑，肖晶，王菲，江海琴，赵鑫鑫 （中山大学附属第一医院黄埔院区器官移植三区，广东广州，510700） ［摘要］　目的　总结心脏死亡（donation after cardiac death，DCD）肾移植受者术后腹泻的发生率，分析发生的原因。方 法　回顾性分析本院实施 DCD 肾移植手术的 91 例受者临床资料，评估术后腹泻发生率和分析发生的原因。 结果　91 例受 者中发生腹泻 83 例，腹泻发生率为 91.2%。腹泻发生原因与使用免疫抑制剂、肠道菌群失调、感染、肠运动功能障碍有关。 结论　DCD 肾移植受者术后腹泻发生率高，根据腹泻不同诱因采取相应的护理措施，避免并发症发生，对提高移植效果具有 重要意义。 ［关键词］ 　心脏死亡；器官捐献；肾移植；腹泻；护理 ［中图分类号］　R473.6　［文献标识码 ］　B　［文章编号 ］　 1671-8283（2013）10-0042-03　［DOI］　 10.3969/j.issn.1671-8283.2013.10.014 Causes of diarrheas from kidney transplantation from donation after cardiac death and nursing strategy Wu Meijuan，Liao Yuan，Xiao Jing，Wang Fei，Jiang Haiqing，Zhao Xinxin ∥ Modern Clinical Nursing，-2013，12（10）：14. ［Abstract］　Objective　To study the diarrhea causes and nursing care after kidney transplantation from donation after cardiac death（DCD）．Methods　The clinical data of 91 patients undergoing kidney transplantations from DCD were retrospectively analyzed from November 2011 to May 2013 in our department，to investigate the incidence of diarrhea and the causes．Results　Eighty three cases contracted diarrhea in 91 recipients，with the incidence of diarrhea 91.2%．The use of immunosuppressive agents，intestinal flora，infection and bowel movement dysfunction were all related to the diarrhea．Conclusions　The incidence of diarrhea is high and the causes are complex after kidney transplantation from DCD．So nurses should take the appropriate care measures to improve the quality of nursing，avoiding complications and ensuring transplant results based on a different cause of diarrhea. ［Key words］　cardiac death； organ donation； kidney transplant； diarrhea； nursing 同种异体肾移植是治疗终末期肾病的有效方 1　资料与方法 法，目前供体器官短缺严重制约了国内器官移植