HLA单倍体异基因造血干细胞移植治疗重症再生障碍性贫血的护理

Nursing for patients with severe aplastic anemia after HLA haploid allo-hematopoietic stem cell transplantation

  • 摘要: 目的 探讨HLA单倍体异基因造血干细胞移植治疗重症再障性贫血患者的护理。 方法 针对移植患者的干细胞回输、移植后移植物抗宿主病(GVHD)及相关并发症进行护理。 结果 移植过程顺利,白细胞植入中位时间13d,血小板植入中位时间14d。4例患者中有2例出现皮肤急性GVHD,1例出现肠道急性GVHD,1例出现出血性膀胱炎。 结论 移植过程中及时发现并正确处理GVHD及感染、口腔黏膜炎、出血性膀胱炎是提高移植成功率的关键因素。

     

    Abstract: Objective To study the nursing for patients with severe aplastic anemia after HLA haploid allo-hematopoietic stem cell transplantation(allo-HSCT). Methods Patients with severe aplastic anemia were nursed according to re-transfusion of stem cells,graft-versus-host disease(GVHD) and complications after allo-HSCT. Results The allo-HSCT was successful.The median time of white blood cell and platelet transplantation was 13 and 14 days,respectively.Skin acute GVHD,intestinal acute GVHD,and hemorrhagic cystitis occurred in 2,1 and 1 out of the 4 patients. Conclusion Prompt finding and correct management of GVHD,infection,oral mucositis,and hemorrhagic cystitis during allo-HSCT are the key factors for the successful allo-HSCT.

     

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