CAJ | 학술논문

目的探讨原位肝移植术后再手术的原因及护理特点.方法回顾性分析3年间施行的241例原位肝移植患者的临床资料,对需再手术病例的原因和护理特点进行分析总结.结果 241例患者中,再次手术30例,再手术率为12.4%.再手术原因包括:腹腔内出血14例占46.7%,胆道并发症8例占26.6%,移植术后不同部位感染4例占13.3%,伤口愈合不良2例占6.7%,肝癌复发2例占6.7%.术后死亡7例,再手术死亡率为23.3%.结论原位肝移植术后再手术的原因是多方面的,其中腹腔内出血和胆道并发症是最主要的原因.了解再手术的原因,并依此制订护理措施,对提高肝移植存活率和生活质量具有重要意义.
목적 탐토원위간이식술후재수술적원인급호리특점.방법 회고성분석3년간시행적241례원위간이식환자적림상자료,대수재수술병례적원인화호리특점진행분석총결.결과 241례환자중,재차수술30례,재수술솔위12.4%.재수술원인포괄:복강내출혈14례점46.7%,담도병발증8례점26.6%,이식술후불동부위감염4례점13.3%,상구유합불량2례점6.7%,간암복발2례점6.7%.술후사망7례,재수술사망솔위23.3%.결론 원위간이식술후재수술적원인시다방면적,기중복강내출혈화담도병발증시최주요적원인.료해재수술적원인,병의차제정호리조시,대제고간이식존활솔화생활질량구유중요의의.
Objective To study the causes and nursing points of re-operation after orthotopic liver transplantation (OLT). Methods The clinical data of 241 patients who underwent OLT in the past three years were analyzed, and the causes and nursing of re-operation were summarized. Results In the 241 patients,30 cases underwent re-operation. The incidence of re-operation was 12.4%. The causes included: intra-abdominal bleeding in 14 cases with the incidence of 46.7%, biliary complications in 8 cases with the incidence of 26.6%, 4 cases infection in different organs with the incidence of 13.3%, wound dehiscence in 2 cases with the incidence of 6.7% and recurrence of carcinoma in 2 cases with the incidence of 6.7%. 7 patients died after re-operation with the mortality rate of 13.3%. Conclusions The causes of re-operation after OLT were various, intra-abdominal bleeding and biliary complications were the main factors. Knowing the causes and taking rational nursing helped to raise the survival rate and quality of life after OLT.