中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
16期
138-140
,共3页
肝癌%自发破裂%超声刀切除
肝癌%自髮破裂%超聲刀切除
간암%자발파렬%초성도절제
Liver cancer%Spontaneous rupture%Ultrasonic resection
目的：探讨1例肝癌自发破裂大出血12500mL（含腹水、术前肝癌出血、术中出血）行超声刀切除术的护理配合。方法（1）配备足够的护理人员：接到手术通知单后由3组护理人员同时分工（心理护理、术前准备、手术室准备）进行。（2）手术相关配合：术前准备的同时积极做好患者心理护理，让其情绪稳定；简单、快捷的术前准备；手术仪器、器械及物品准备齐全；快速建立多处静脉通道；术中根据手术进程，及时调整，熟练配合；正确使用和调节超声刀；严格遵循无瘤原则。结果经2小时55分钟的手术抢救，患者脱离生命危险。结论针对肝癌自发性破裂大出血发病急骤、来势凶猛的特点，手术配合最好由多组护理人员同时分工进行，手术过程中用物准备齐全、娴熟的操作、沉着冷静的应对是抢救成功的保障。
目的：探討1例肝癌自髮破裂大齣血12500mL（含腹水、術前肝癌齣血、術中齣血）行超聲刀切除術的護理配閤。方法（1）配備足夠的護理人員：接到手術通知單後由3組護理人員同時分工（心理護理、術前準備、手術室準備）進行。（2）手術相關配閤：術前準備的同時積極做好患者心理護理，讓其情緒穩定；簡單、快捷的術前準備；手術儀器、器械及物品準備齊全；快速建立多處靜脈通道；術中根據手術進程，及時調整，熟練配閤；正確使用和調節超聲刀；嚴格遵循無瘤原則。結果經2小時55分鐘的手術搶救，患者脫離生命危險。結論針對肝癌自髮性破裂大齣血髮病急驟、來勢兇猛的特點，手術配閤最好由多組護理人員同時分工進行，手術過程中用物準備齊全、嫻熟的操作、沉著冷靜的應對是搶救成功的保障。
목적：탐토1례간암자발파렬대출혈12500mL（함복수、술전간암출혈、술중출혈）행초성도절제술적호리배합。방법（1）배비족구적호리인원：접도수술통지단후유3조호리인원동시분공（심리호리、술전준비、수술실준비）진행。（2）수술상관배합：술전준비적동시적겁주호환자심리호리，양기정서은정；간단、쾌첩적술전준비；수술의기、기계급물품준비제전；쾌속건립다처정맥통도；술중근거수술진정，급시조정，숙련배합；정학사용화조절초성도；엄격준순무류원칙。결과경2소시55분종적수술창구，환자탈리생명위험。결론침대간암자발성파렬대출혈발병급취、래세흉맹적특점，수술배합최호유다조호리인원동시분공진행，수술과정중용물준비제전、한숙적조작、침착랭정적응대시창구성공적보장。
ObjectiveTo explore the nursing cooperation for 1 case of spontaneous rupture of liver cancer and hemorrhoea of 12 500 mL(including ascites, preoperative bleeding of liver cancer, and bleeding during operation) receiving ultrasonic resection.Methods (1) Sufficient nursing staff were equipped: three groups of nursing staff began to work according to labor division (mental nursing, preoperative preparation, and preparation for the operation room) simultaneously when being informed of the operation. (2)Operation related cooperation: Besides preoperative preparation, patient's mental nursing was carried out positively to calm patient's emotion; simple and quick preoperative preparation; complete preparation for surgical instruments, devices and items; rapid establishment of multiple intravenous lines; timely arrangement and skilled cooperation during operation based on the operative procedure; correct use and adjustment of ultrasonic knife; strict abidance by the tumor-free principle.Results The patient was announced out of danger after 2 hours and 55 minutes of operation. Conclusion In terms of the characteristics of rapid and aggressive progress of spontaneous rupture and hemorrhoea of liver cancer, operation cooperation should be carried out simultaneously by different groups of nursing staff with different labor division. Complete preparation for surgical instruments, adept skills and calm attitude during the operation are the key to a successful operation.
