肝门部胆管癌患者术前行门静脉栓塞的护理  

Nursing for Preoperative Portal Vein Embolization in Patients with Hilar Cholangiocarcinoma

作　　者：张蜀豫[1] 马兴涛[1] 易滨[1] 

机构地区：[1]第二军医大学东方肝胆外科医院胆道一科,上海200438

出　　处：《解放军护理杂志》2010年第9期676-679,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市卫生局局级项目(2007Y29);民政部课题(民人教科字[2008]47-2-39)

摘　　要：目的研究肝门部胆管癌患者术前行门静脉栓塞(portal vein embolization,PVE)的疗效及护理方法。方法回顾分析2008年1月至2009年6月某院23例经CT或MRI确诊的肝门部胆管癌患者行术前PVE治疗的疗效及护理经验。结果患者在PVE15d后血清总蛋白(total protein,TP)、白蛋白(albumin,ALB)、总胆红素(total bilirubin,TB)、丙氨酸氨基转移酶(alanine aminotransferase,ALT)等各项指标均较术前有所改善,23例肝门部胆管癌患者行PVE后无一例死亡,仅1例患者发生胆漏、5例患者有发热症状。结论肝门部胆管癌患者术前行PVE能促进肝功能的恢复,增加手术安全性和手术切除率,加强PVE后的护理和积极处理并发症是患者尽早康复的关键。Objective To evaluate the efficacy and nursing for preoperative portal vein embolization（PVE）in patients with hilar cholangiocarcinoma.Methods The treatment and nursing procedure of 23 patients who were confirmed with hilar cholangiocarcinoma by CT or MRI and treated with PVE in a hospital from January 2008 to June 2009 were retrospectively analyzed.Results Compared with the indicators before PVE,the total protein（TP）,albumin（ALB）,total bilirubin（TB）and alanine aminotransferase（ALT）at 15 d after PVE were improved.Of the 23 patients with PVE,1 patient was found with biliary fistula,5 with fever without death case.Conclusion Preoperative PVE in hilar cholangiocarcinoma can promote liver function and increase the safety of surgery and surgical resection rate.The key to the rehabilitation of patients is strengthening the care and actively manging complications after PVE.

关 键 词：肝门部胆管癌 门静脉栓塞 护理 

分 类 号：R473.6[医药卫生—护理学]