脾次全切除带脾蒂残脾后腹膜移位加断流术治疗门脉高压脾亢的护理  

Nursing in the treatment of portal hypertensive hypersplenia by engrafting residual spleen with splenic stalk into posterior peritoneum plus ligation of varicose vein in the subtotal ectomy of spleen.

作　　者：马蓝[1] 

机构地区：[1]东莞市桥头医院,广东东莞523523

出　　处：《齐鲁护理杂志》2005年第7期775-776,共2页Journal of Qilu Nursing

摘　　要：目的:总结9例脾次全切除带脾蒂残脾后腹膜移位加断流术治疗门脉高压脾亢患者的临床护理。方法:对9例肝硬化门脉高压脾亢患者术前注重心理护理、术前准备,术后做好并发症、出血的观察,引流管护理及术后指导。结果:9例患者均有效地降低了门脉压力,手术前后IgG、IgA、IgM无差异,3例术后静脉曲张消失,6例改善。结论:对肝硬化门脉高压脾功能亢进患者术前注重心理护理、术前准备,术后密切观察病情和正确护理是减少并发症,提高手术成功率的重要措施。Objective ：To summarize nursing experience in the treatment of 9 cases of portal hypertensive hypersplenia by engrafting residual spleen with splenic stalk into posterior peritoneum plus ligation of varicose vein in the subtotal ectomy of spleen. Methods： The comprehensive nursing was applied to 9 cases such as psychonursing, preoperative preparation, monitoring of complication and hemorrhage, drainage and postoperative instruction. Results： Portal venous pressure of the patients brought down effectively. No statistics difference was found in IgG, lgA and IgM postoperatively. Conclusion： Psychonursing and full preoperative preparation and close postoperative observation can effectively decrease complications.

关 键 词：门脉高压 脾功能亢进 手术 护理 

分 类 号：R473.6[医药卫生—护理学]