CAJ | 학술논문

介绍26例成人多囊肝病行肝部分切除联合囊肿广泛开窗术后患者并发症的观察与护理体会。密切观察腹腔引流液的颜色、性质、量，警惕并发胆汁性腹膜炎、腹腔出血、大量腹水等并发症；倾听患者主诉，重视患者不同程度的胸闷、胸痛、气促、呼吸困难等胸腔积液症状。本组26例患者出现并发症，其中7例出现1种以上的并发症：腹腔出血1例，大量腹水17例，胸腔积液11例，胆漏2例，感染3例，肾功能衰竭2例，均经对症处理与精心护理后治愈。
개소26례성인다낭간병행간부분절제연합낭종엄범개창술후환자병발증적관찰여호리체회。밀절관찰복강인류액적안색、성질、량，경척병발담즙성복막염、복강출혈、대량복수등병발증；경은환자주소，중시환자불동정도적흉민、흉통、기촉、호흡곤난등흉강적액증상。본조26례환자출현병발증，기중7례출현1충이상적병발증：복강출혈1례，대량복수17례，흉강적액11례，담루2례，감염3례，신공능쇠갈2례，균경대증처리여정심호리후치유。
This paper introduced the nursing of complications for patients with adult polycystic liver disease treated by partial hepatectomy with wide fenestration into hepatic cysts. It was important to observe closely the color, quality and quantity of postoperative intraabdominal drainage liquid for the complications of biliary peritonitis, abdominal hemorrhage and large amount of ascitic fluid. Patients complaints needed to be given special attention and symptoms of pleural effusion such as chest distress, chest pain, shortness of breath and dyspnea should be given attention as well. In the study, one or more complications occurred in 7 patient. Of the total, abdominal hemorrhage occurred in 1 patient, large amount of ascitic fluid in 17, pleural effusion in 11, bile leakage in 2, infection in 3 and renal failure in 2. All the patients recovered after treatment and careful nursing.