CAJ | 학술논문

目的探讨精准肝切除术患者的围手术期护理要点.方法自2010年1月至2011年5月对施行精准肝切除术68例肝癌患者,手术前后加强心理护理、营养支持、呼吸道管理；术后做好各种管道的护理,重点强调肝功能衰竭、出血、肺部感染、胸腔积液及肺不张、膈下积液、腹腔积液、胆漏等并发症的预防和控制,对围手术期护理工作进行回顾性分析、总结.结果 68例患者手术效果满意,术后发生2例肺部感染、4例胸腔积液、3例肺不张、1例膈下积液,均被及时发现和处理后痊愈.结论精心的围手术期护理可提高精准肝切除术的安全性,预防和减少术后并发症的发生,为患者平稳度过围手术期,康复出院创造良好的条件.
목적 탐토정준간절제술환자적위수술기호리요점.방법 자2010년1월지2011년5월대시행정준간절제술68례간암환자,수술전후가강심리호리、영양지지、호흡도관리；술후주호각충관도적호리,중점강조간공능쇠갈、출혈、폐부감염、흉강적액급폐불장、격하적액、복강적액、담루등병발증적예방화공제,대위수술기호리공작진행회고성분석、총결.결과 68례환자수술효과만의,술후발생2례폐부감염、4례흉강적액、3례폐불장、1례격하적액,균피급시발현화처리후전유.결론 정심적위수술기호리가제고정준간절제술적안전성,예방화감소술후병발증적발생,위환자평은도과위수술기,강복출원창조량호적조건.
Objective To discuss the perioperative nursing on the 68 patients with precise liver resection.Methods The menial nursing and nutrition support,the management of the respiratory tract had been strengthened for 68 patients with liver cancer who were conducted precise liver resection from January 2010 to May 2011 in the preoperative nursing.The tube care and control of the complication which included liver dysfunction,bleeding,pulmonary infection and so on were observed.Perioperative care work was analyzed and summarized retrospectively.Results The effects of the operations of 68 patients with liver cancer were satisfyin~ There were 2 c ases of pulmonary infection,4 pletral effusion,3 pulmonatelectasis,and 1 subphrenic effusion after operation.All were timely detected and processed.Conclusions The careful nursing during perioperation can increase the safety of the precise liver resection,p~vent and dcerease the occurrence of the postoperative complication.It can provide better chance for the patients to survive the perioperation and get well when be discharged.