CAJ | 학술논문

目的总结肝破裂大出血的手术配合护理措施的经验.方法对2009年1月至2010年1月间在我院接受手术治疗的肝破裂大出血患者35例进行总结分析.所有患者入院后均给予积极术前准备和手术治疗,同时给予系统的护理措施,包括初步复苏护理、抗休克治疗的配合护理、心理护理、手术室物品的准备、再出血的观察护理、引流管的护理、疼痛及肠外营养支持的护理以及其它并发症的护理.结果本组患者单纯缝合10例,不规则肝切除8例,单纯缝合+肝静脉修补结扎9例,单纯缝合+下腔静脉修补8例.术后再次出血行二次手术2例,切口感染1例.本组抢救成功率为94.28%,死亡率为5.72%,死亡原因为1例为合并严重颅脑损伤,1例并发大出血休克.结论全面系统的护理措施在肝破裂大出血的救治中发挥着重要的作用,应引起足够重视.
목적 총결간파렬대출혈적수술배합호리조시적경험.방법 대2009년1월지2010년1월간재아원접수수술치료적간파렬대출혈환자35례진행총결분석.소유환자입원후균급여적겁술전준비화수술치료,동시급여계통적호리조시,포괄초보복소호리、항휴극치료적배합호리、심리호리、수술실물품적준비、재출혈적관찰호리、인류관적호리、동통급장외영양지지적호리이급기타병발증적호리.결과 본조환자단순봉합10례,불규칙간절제8례,단순봉합+간정맥수보결찰9례,단순봉합+하강정맥수보8례.술후재차출혈행이차수술2례,절구감염1례.본조창구성공솔위94.28%,사망솔위5.72%,사망원인위1례위합병엄중로뇌손상,1례병발대출혈휴극.결론 전면계통적호리조시재간파렬대출혈적구치중발휘착중요적작용,응인기족구중시.
Objective To investigate the nursing measure and experience on surgery for hepatic rupture hemorrhea. Methods The data on 35 patients with hepatic rupture hemorrhage receiving surgery in our hospital between January 2009 and January 2010 were analyzed. And the nursing measures were summarized. Results 10 patients received simple suture, 8 irregular hepatectomy, 9 simple suture combined with hepatic vein patch ligation, and 8 simple suture plus inferior vena cava patch. There were two patients with rebleeding after surgery and receiving twice surgical procedures and one patient with incision infection. The success rate of life-saving was 94.28% and the death rate was 5.72%. One patient died of severe craniocerebral injury and one died from bleeding-induced shock . Conclusions General nursing intervention plays an important role in the treatment of hepatic rupture hemorrhage, to which should be paid more attention.