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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (18): 50-52.doi: 10.16460/j.issn1008-9969.2021.18.050

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Nursing of Complications after Liver Transplantation in Children with Biliary Atresia

TIAN Wen-jiea,b, LV Yia,b, WANG Kai-lingb, YANG Qin-linga, XIAO Qi-guia   

  1. a. Dept. of Hepatobiliary Surgery; b. National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
  • Received:2021-05-11 Online:2021-09-25 Published:2021-10-12

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Abstract: Objective To summarize the observation and nursing points of postoperative complications in children with biliary atresia after liver transplantation, and to popularize the nursing experience. Methods Four children with biliary atresia received liver transplantation. Postoperative complications including vascular complications, biliary complications, prevention and control of infection, and gastrointestinal fistula and biliary complications were observed. Targeted nursing measures such as postoperative nutritional support were provided, then the nursing experience was summarized. Results One child with infection after operation was given dynamic anti-infection program and protective isolation measures then discharged successfully. One child had gastrointestinal fistula after surgery. With operation treatment and nutritional support, the digestive tract function gradually recovered and the child discharged after close observation and treatment. one-year follow-up found no other serious complications in 4 patients after discharge. Conclusion Close observation and nursing of complications in children after liver transplantation can significantly improve the prognosis of children with liver transplantation, improve the survival rate, and the rehabilitation of liver transplantation in children.

Key words: biliary atresia, pediatric liver transplantation, complication, nursing

CLC Number: 

  • R473.6
[1] Wang J, Xu Y, Chen Z, et al.Article Liver Immune Profiling Reveals Pathogenesis and Therapeutics for Biliary Atresia[J]. Cell, 2020, 183(7):1867-1883.DOI:10.1016/j.cell.2020.10.048.
[2] Tessier ME, Harpavat S, Shepherd RW, et al.Beyond the Pediatric End-stage Liver Disease System: Solutions for Infants with Biliary Atresia Requiring Liver Transplant[J]. World J Gastroenterol,2014,20(32):11062-11068.DOI:10.3748/wjg.v20.i32.11062.
[3] Kelly D, Verkade HJ, Rajanayagam J, et al.Late Graft Hepatitis and Fibrosis in Pediatric Liver Allograft Recipients: Current Concepts and Future Developments[J]. Liver Transpl,2016,22(11):1593-1602.DOI:10.1002/lt.24616.
[4] Chen J, Weinstein J, Black S, et al.Surgical and Endovascular Treatment of Hepatic Arterial Complications Following Liver Transplant[J]. Clin Transplant, 2014, 28(12):1305-1312.DOI:10.1111/ctr.12431.
[5] Cavalcante ACBS, Zurstrassen CE, Carnevale FC, et al.Long-term Outcomes of Transmesenteric Portal Vein Recanalization for the Treatment of Chronic Portal Vein Thrombosis after Pediatric Liver Transplantation[J]. Am J Transplant, 2018,18(9):2220-2228.DOI:10.1111/ajt.15022.
[6] Ghabril M, Agarwal S, Lacerda M,et al.Portal Vein Thrombosis is a Risk Factor and Outcomes after Liver Transplantation:Analysis of Risk Factors and Outcomes for Portal Vein Thrombosis in Waitlisted Patients[J]. Transplantation,2016, 100(1):126-133.DOI:10.1097/TP.0000000000000785.
[7] 孙雁,于立新,刘懿禾,等. 耐碳青霉烯类肠杆菌科细菌在肝移植患儿中定植与感染的调查分析[J]. 中华小儿外科杂志,2020,41(10):881-888.DOI:10.3760/cma.j.cn421158-20190707-00423.
[8] Neto JS, Feier FH, Bierrenbach AL, et al.Impact of Kasai Portoenterostomy on Liver Transplantation Outcomes: A Retrospective Cohort Study of 347 Children with Biliary Atresia[J]. Liver Transpl, 2015, 21(7):922-927.DOI:10.1002/lt.24132.
[9] 郭跃华,党雁,章朋,刘姝.6例高位小肠坏死早产儿Bishop-Koop肠造口术后护理[J].护理学报,2021, 28(5):59-61.DOI:10.16460/j.issn1008-9969.2021.05.059.
[10] Pereira P, Peixoto A.Biliary Complications - The “Achilles Heel” of Orthotopic Liver Transplantation[J]. GE P rt J Gastroenterol, 2018, 25(1):1-3.DOI:10.1159/000480489.
[11] 陆晔峰. 儿童肝移植术后长期生存的相关问题分析[J]. 临床肝胆病杂志,2019, 35(11):2396-2401.DOI:10.3969/j.issn.1001-5256.2019.11.004.
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