CAJ | 학술논문

目的总结肝移植术后早期再次剖腹探查的原因,探讨术后的护理特点.方法回顾性分析175例成人肝移植的临床资料,对术后早期需再手术病例的原因和监测要点进行分析总结.结果 175例患者住院期间再次手术21例,再手术率为12.0%(21/175).再手术原因包括,腹腔内出血14例(66.7%)、胆道并发症4例(19.0%)、伤口愈合不良3例(14.3%).术后死亡8例,再手术病死率为38.1%.结论腹腔内出血是导致肝移植术后早期再次剖腹探查的最主要原因.了解再手术的原因,加强术后患者的监测与护理,对提高肝移植存活率具有重要意义.
목적 총결간이식술후조기재차부복탐사적원인,탐토술후적호리특점.방법 회고성분석175례성인간이식적림상자료,대술후조기수재수술병례적원인화감측요점진행분석총결.결과 175례환자주원기간재차수술21례,재수술솔위12.0%(21/175).재수술원인포괄,복강내출혈14례(66.7%)、담도병발증4례(19.0%)、상구유합불량3례(14.3%).술후사망8례,재수술병사솔위38.1%.결론 복강내출혈시도치간이식술후조기재차부복탐사적최주요원인.료해재수술적원인,가강술후환자적감측여호리,대제고간이식존활솔구유중요의의.
Objective To summarize the causes of reoperation during early postoperative period in liver transplantation in adults and to explore the postoperative nursing measures. Methods The clinical data of 175 adult liver transplantation between July 2007 and July 2009 were retrospective analyzed, and the causes and monitoring points of reoperation were summarized. Results The incidence of reoperation was 12. 0%. The causes of reoperation included intra-abdominal bleeding in 14 cases (66. 7% ) , biliary complications in 4 cases (19.0% ) and poor healing wound in 3 cases(14.3%). Eight patients died after reoperation with the mortality of 38.1%. Conclusions Intra-abdominal bleeding is the main reason of reoperation during early postoperative period in liver transplantation. Knowing the causes and emphasizing on nursing and monitoring can raise the survival rate after liver transplantation.