CAJ | 학술논문

目的总结肝脾联合切除及断流术的配合特点,为该类手术提供借鉴.方法 20例肝脾联合切除及断流术术前做好充分的人员及物品准备,术中维持有效血容量、严格执行无菌技术及手术用物清点核对制度、控制出入室人员制度,并采取保暖及预防褥疮措施.结果 20例手术取得满意效果,无1例发生术中低温及术后感染和褥疮.结论术中注意保暖、预防褥疮、保持静脉通畅、严格执行"三查七对"是保证肝脾联合切除及断流术顺利开展的关键.严格执行无菌技术、控制出入室人数是防止围手术期感染的关键措施.
목적 총결간비연합절제급단류술적배합특점,위해류수술제공차감.방법 20례간비연합절제급단류술술전주호충분적인원급물품준비,술중유지유효혈용량、엄격집행무균기술급수술용물청점핵대제도、공제출입실인원제도,병채취보난급예방욕창조시.결과 20례수술취득만의효과,무1례발생술중저온급술후감염화욕창.결론 술중주의보난、예방욕창、보지정맥통창、엄격집행"삼사칠대"시보증간비연합절제급단류술순리개전적관건.엄격집행무균기술、공제출입실인수시방지위수술기감염적관건조시.
Objective To summary the characteristics of united liver and spleen resection combined with disconnection, so as to provide experience for these operations. Methods 20 patients were included, personnel and articles were prepared before operations. Sustainning valid blood volume, executing aseptic technic and count-ing system strictly, controlling institution of in and out, keepping warm and preventting bed sore intra -opera-tion. Results 20 operations had gained satisfactory effects. No one happened hypothermia in operation and infec-tion and bed sore after operation. Conclusions Keeping warm, preventing bed sore, keeping iv drip smooth, executing " three inspections and seven verifications" strictly are the key points of these operations. Executing a-septic technic strictly, controlling in and out numbers axe the key measures of preventing infection of perioperation period.