肝叶切除术围手术期护理体会  

The Experience of Perioperative Nursing of the Patients with Hepatolobectomy

作　　者：吴丽萍[1] 杨亚梅[1] 李惠玲[2] 郝芳[1] 

机构地区：[1]四川省人民医院.四川省医学科学院,四川成都610072 [2]成都中医药大学,四川成都610072

出　　处：《四川省卫生管理干部学院学报》2009年第2期184-186,共3页Journal of Sichuan Continuing Education College of Medical Sciences

摘　　要：目的：探讨肝叶切除术围手术期的护理措施，总结护理经验。方法：回顾性分析2007-2008年我院收治的163例肝叶切除术患者的临床和护理资料，对其术前全身情况做详细评估，重点检查心、肝、肺、肾及血液系统功能，做好心理护理；术后密切观察生命体征及病情变化，保证有效循环血量，防治低血压；保持各引流管通畅，加强基础护理及术后并发症的观察及护理。结果：该组163例患者发生术后并发症10例（6．13％），围手术期死亡2例（1．2％）。结论：做好围手术期的护理，尤其是增强术后的护理观察，提高术后护理质量，对巩固手术疗效，促进病人康复至关重要。Objective： To investigate the nursing intervention and summarize the nursing experience of perioperative patients with hepatolobectomy. Methods： The clinical and nursing data of 163 cases undergone hepatolobeetomy from 2007 to 21308 were retrospectively analyzed. The general situation of the patients was evaluated, especially the function of heart, liver, lung, kidney and the hematological system. Psychologic nursing was well done. The postoperative nursing included observing vital sign and variation of the pathogenetic condition, guaranteeing the efficient circulation volume to prevent hypotension, keeping the drainage tube unobstructed and strengthening the basic nursing and nursing of postoperative comphcations. Results： Of all the patients undergone hepatolobeetomy, 6.13% accompanied with postoperative complications, and 1.2% died during the perioperation. Conclusion： It is vital to improve perioperative nursing quality, especially the careful observation for consolidating therapeutic effect and promoting the patients＇ restoration.

关 键 词：肝叶切除 围手术期 护理 

分 类 号：R473.6[医药卫生—护理学]