总结报道1例ABO血型不相容肾移植患者术后发生移植肾动静脉血栓的护理经验。护理要点：采用预见性护理思维提升抢救效率；实施多学科协作改进护士为主导的移植肾血栓风险分层管理；梳理移植肾离体溶栓再植术后护理经验。其中，术后护理经验包括建立责任组长-责任护士双重管理的个案护理小组、预防出血和再次栓塞、动态监测移植肾血流灌注、感染防控等。经过42 d的积极治疗和精心护理，患者顺利出院。

Nursing experience of an ABO-incompatible kidney transplantation (ABOi-KT) patient with renal allograft arteriovenous thrombosis after kidney transplantation.The key nursing points were as follows: applying predictive nursing thinking to improve the efficiency of rescue; carrying out multidisciplinary collaboration to optimize the nurse-led risk stratification management of renal allograft thrombosis; accumulating nursing experience of renal allograft reimplantation after in vitro thrombolysis,including the establishment of a case nursing group under the dual management of a charge nurse and a primary nurse,prevention of hemorrhage and re-embolism,dynamic monitoring of renal allograft blood perfusion,and infection control.After 42 days of active treatment and meticulous nursing care,the patient was discharged successfully.

R473

浙江省医药卫生科技计划项目（2022KY774）