第14卷第3期器官移植Vol.14 No.32023年5月Organ TransplantationMay 2023·指南与共识·儿童肾移植围手术期护理规范专家共识上海市护理学会外科护理专业委员会【摘要】儿童肾移植受者在原发病、生理、心理、器官功能和免疫状态等方面具有不同于成人的特点，其围手术期的治疗与护理过程与成人肾移植也不尽相同。为规范儿童肾移植围手术期的整体护理方案，上海市护理学会外科护理专业委员会组织全国移植领域相关医疗、护理专家共同撰写《儿童肾移植围手术期护理规范专家共识》（以下简称“共识”），经过3轮线上专家函询，对所有修改意见采用聚焦讨论联合文献佐证的方式形成一致意见，最终形成共识。共识针对儿童肾移植围手术期的治疗和护理重点予汇总和陈述，包含儿童肾移植术前评估、术前与术后护理3部分内容，具有较好的科学性和实用性。【关键词】儿童肾移植；终末期肾病；护理；人类白细胞抗原；群体反应性抗体；中心静脉导管(CVC);经外周静脉置入中心静脉导管(PICC);抗胸腺细胞球蛋白【中图分类号】R617,R692【文献标志码】A【文章编号】1674-7445(2023)03-0004-09Expert consensus on perioperative nursing standards for pediatric kidney transplantation Sogery Nising Committee of ShanghaiNursing Association.The First Affiliated Hospital of Naval Medical University.Shanghai 200433.ChinaCorresponding authors:Li Haiyan,Email:18900163@qq.comZeng Li.Email:zenglil11109@163.comAbstract)Pediatric kidney transplant recipients differ from adult counterparts in primary disease,physiology,psychology,organ function and immune status and their perioperative treatment and nursing management are differentfrom those of adult kidney transplantation.To standardize holistic perioperative nursing regimens for pediatric kidneytransplantation,Surgery Nursing Committee of Shanghai Nursing Association organized national medical and nursing expertsin the fields of transplantation to jointly draft"expert consensus on perioperative nursing standards for pediatric kidneytransplantation "(abbreviated as "consensus").After three rounds of online expert inquiry,all revised opinions were jointlydiscussed combined with literature evidence,and the expert consensus was finally reached.The highlights of perioperativetreatment and nursing care for pediatric kidney transplantation were summarized and stated,including preoperativeevaluation,preoperative and postoperative nursing care,which were of scientific and practical value.Key words]Pediatric kidney transplantation;End-stage renal disease;Nursing;Human leukocyte antigen;Panelreactive antibody;Central venous catheter (CVC);Peripherally inserted central catheter (PICC);Antithymocyte globulin儿童肾移植是指年龄未满18周岁受者实施的肾在原发病、生理、心理、器官功能和免疫状态等方面移植，是目前儿童终末期肾病(cnd--stage renal disease,具有不同于成人的特点，其围手术期的治疗与护理过ESRD)的首选肾脏替代治疗方式。儿童肾移植受者程与成人肾移植也不尽相同，且处于不同时期的儿D0:10.3969j.issn.16747445.2023.03.004基金项目：全军医学科技青年培训计划应用基础研究项目(21QNY041)；海军军医大学“深蓝”护理科研项目(2022KYG24):海军军医大学第一附属医院“十四五”学科固海计划（院医【2021】133号）执笔作者单位：200433上海，海军军医大学第一附属医院（李烟花、李海燕、曾力）：上海交通大学医学院附属仁济医院（陆徽徽）：中山大学附属第一医院（陈锷）通信作者：李海燕(0RCD:0000-00034011-7548),硕士，副主任护师，研究方向为外科临床护理与管理，Emal:18900163@qq.com;曾力(0RCD:0009-0007-0065-5882),博土，主任医师，研究方向为肾移植、泌尿外科，Email:zengli111109@163.com
