肝硬化并胆道结石腹腔镜手术的围手术期护理  

The perioperative nursing of cholangiolithcasis in patients with liver cirrhosis

作　　者：孙咏梅[1] 石兰萍[1] 刘志兰[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《天津护理》2006年第4期191-192,共2页Tianjin Journal of Nursing

摘　　要：目的：提高肝硬化并胆道结石手术患者的围手术期护理质量,减少手术并发症；方法：回顾性分析35例肝硬化并胆道结石患者围手术期护理过程(Child-Pugh：A级23例,B级12例)。结果：35例患者恢复良好,无腹腔感染、切口感染及肝性脑病发生。1例患者术后出现腹水、1便患者术后腹腔少量渗血。两例患者经及时治疗均治愈。结论：术前细致评估、成功的护患沟通与健康教育,良好的营养支持与密切观察病情变化是肝硬化并胆道结石腹腔镜手术围手术期护理的关键。有效的围手术期护理对降低手术后并发症、促进康复具有积极作用,是取得满意治疗效果的有效保证。Objective：To study the perioperative nursing of eholangiolitheasis in patients with liver cirrhosis in order to decrease the complications. Methods：The perioperative nursing datas of cholangiolithcasis in patients with liver cirrhosis in our hospital were retrospectively analysized. Amoung all the thirty-live eases, Child-Pugh class A was of twenty-three eases, Class B was of tweleve eases respectively. Results：Thirty-live eases recovered well whitout abdominal infection, Wound infection or hepatie eneephalopathy. One ease appeared aseites, one ease appeared less abdominal bleeding, and the both eases were healed at the last, the efficative rates were 100%. Conclusions： Carefully perioperative evaluation, good eoordination of nursers and patients early health edueation, efficacy nutritive therapy and careful observation were the key to perioperative nursing of eholngiolithcasis patients with liver eirrhosis. If the optimizing perioperative nursing was given, the favorable effeets ,night be obtained.

关 键 词：肝硬化 胆道手术 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]