多支架压栓加肠腔分流术治疗重症布加综合征的护理  

Multi-stent pressure suppository plus mesocaval shunt for treatment of severe Budd-Chiari syndrome care

作　　者：李妍[1] 张全英[1] 曾萍[1] 

机构地区：[1]新乡医学院第一附属医院普外科,河南卫辉453100

出　　处：《中外健康文摘》2009年第01X期151-152,共2页The Chinese and foreign health abstract

摘　　要：目的探讨血栓性膜型阻塞合并肝静脉堵塞型布加氏综合征的介入加手术治疗的护理方法。方法自1997年4月至2000年8月，对29例血栓性膜型阻塞性布加氏综合征患者实施多支架压栓并球囊扩张成形支架置入术．对其中11例肝静脉堵塞患者再次行肠腔分流术，回顾性研究其护理方法。结果经过多项术前、术后护理措施的应用，无“3腔2囊管”相关并发症，严重出血性并发症．肺栓塞等严重并发症发生。随访3个月～5．5年，效果良好。结论对血栓性膜型阻塞性合并肝静脉堵塞型布加氏综合征．可施行多支架压栓加肠腔分流术治疗．适当的护理干预是保证手术成功的重要措施。Objective To investigate the membrane-type thrombotic hepatic vein obstruction plug type Budd-Chiari syndrome increase the involvement of surgical treatment of care. Methods From April 1997 to August 2000, 29 cases of thrombosis of membrane-type obstructive Budd-Chiari syndrome patients more pressure stent balloon mitral suppo-sitory and stenting, of which I l cases of hepatic venous congestion Patients with mesocaval shunt line again, retrospective study of their care. Results After a number of preoperative and postoperative care measures applications, no ＂3 cavity 2 capsule pipe＂-related complications, severe bleeding complications, pulmonary embolism and other serious complications occurred. Follow-up 3 months to 5.5 years. Conclusion Membrane-type of thrombotic obstruction of hepatic venous congestion type Budd-Chiari syndrome can be implemented more pressure suppository plus mesocaval stent shunt treatment, appropriate care to ensure that surgical intervention is an important measure of success.

关 键 词：下腔静脉 肝静脉 肠腔分流术 

分 类 号：R473.6[医药卫生—护理学]