Nursing care of a patient with stage 5 chronic kidney disease complicated by left femoral artery stenting
1例慢性肾脏病5期合并左下肢股动脉支架成形术后患者的护理

摘要

慢性肾脏病5期是指慢性肾脏疾病的第五期，是肾衰竭的终末阶段[1]。相比于普通人而言，慢性肾脏病5期是指严重受损、需要依赖肾脏替代治疗来维持生命的患病期间[2]。本文总结1例慢性肾脏病5期合并左下肢股动脉支架成形术后患者行异体肾移植术的围术期护理经验。护理人员通过优化呼吸功能、血管通路分层护理、体液平衡管理、全流程感染防控、个体化舒适护理、用药安全护理、并发症预防作为护理流程，使得患者在精细护理下，最终顺利脱机拔管，体液平衡稳定，无并发症发生，病情平稳转回专科病房。本个案为慢性肾脏病5期合并外周血管疾病患者的术后护理提供可参考的实践方案。

Abstract

Stage 5 chronic kidney disease refers to the fifth stage of chronic kidney disease, which is the terminal stage of renal failure[1]. Compared with ordinary people, stage 5 chronic kidney disease indicates a severely damaged condition where patients rely on renal replacement therapy to maintain life[2]. This article summarizes the perioperative nursing experience of a patient with stage 5 chronic kidney disease complicated by left femoral artery stenting who underwent allogeneic kidney transplantation. The nursing staff adopted a nursing process that included optimizing respiratory function, stratified care of vascular access, fluid balance management, full-process infection control, individualized comfort care, medication safety care, and complication prevention. Under meticulous care, the patient was successfully weaned off the ventilator and extubated, with stable fluid balance and no complications. The patient's condition was stable and they were transferred back to the specialized ward. This case provides a practical reference for the postoperative care of patients with stage 5 chronic kidney disease complicated by peripheral vascular disease.