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Current Issue

2014 2, No.2 Date of publication: 20 March 2014

Mao Sha, Cao Junping, Liu Xiaoli, Yang Chunyan.

2014, (2): 93-95. DOI:10.3969/j.issn.2095-5332.2014.02.011

Objective To explore the nursing experience of tuberculosis(TB)infection after liver transplantation. Methods A retrospective analysis of TB infection in solid organ transplant recipients in transplantinstitute of the armed police general hospital from May,2002 to February,2008 was done. The clinical data of 11 patients was collected to summarize its individualized treatment and nursing experience. Results The follow-up time was 23-1 080 days. Three cases experienced hemophagocytic syndrome. One case died from coma and recurrent seizures,which was considered complicated with tuberculsis meningitis or cerebral hemorrhage. The 10 cases left were cured. Conclusion In view of the clinical features of tuberculosis infection after liver transplantation,targeted nursing measures were given so as to improve the quality and prolong the life of transplant recipients.

Wang Jing

2014, (2): 96-98. DOI:10.3969/j.issn.2095-5332.2014.02.012

Objective To summarize the nursing experience of patients who had received licartinintravenously for preventing and treating tumor recurrence after liver transplantation in patients with primary hepatic carcinoma and provide the key points for clinical nurse staff. Methods The nursing insight of 7 patients who hadreceived licartin intravenously for preventing and treating tumor recurrence after liver transplantation in patients with primary hepatic carcinoma has been summarized. Results The key points were as follows :taking psychologicalcare of patients,informing them the knowledge of radiation protection and engaging drug susceptibility tests,routineblood test,along with liver function test before operation;intensive observation,instant dealing with adverse reactions and discharge-related guidance should be given to patients post operation. Conclusion When using licartin forpreventing and treating tumor recurrence,clinical nurse staff should grasp the psychological quality and physical condition of patients on the basis of self-protection,observe the adverse reaction intensively and provide a qualitycare.

Shi Yanming, Shi Linyu, Wang Jianning.

2014, (2): 99-102. DOI:10.3969/j.issn.2095-5332.2014.02.013

Objective To explore the role of non-invasive and invasive ventilation in cytomegalovirus (CMV pneumonia induced severe acute respiratory distress syndrome(ARDS)after renaltransplantation. Methods A case of postoperative renal transplant CMV pneumonia and severe ARDS and literature were reviewed. Results More than 3 months after renal transplantation,the patient underwent fever andshort of breath. The chest radiographshowed bilateral pulmonary interstitial changes. His condition gradually worsenedwith obviously difficult breathing and the lowest oxygen partial pressure was 20 mmHg1 mmHg 0.133 kPa despite the conventional treatment. Noninvasive ventilation was given in time,and was changed to invasive ventilation according to the condition. Two weeks after the ventilation treatment,non-invasive ventilator was used again as the disease alleviated. The patient was treated for a total of 1 month before discharge. Conclusion With the timely and appropriate application of non-invasive and invasive ventilation in CMV pneumonia induced severe ARDS after renal transplantation,pulmonary function can be improved and the chance for the treatment of primary disease was won.