老年病人肝移植术后腹泻的原因分析及护理  

Analysis of causes of elderly patients developed diarrhea after undergoing liver transplantation and nursing care of them

作　　者：王爱英[1] 徐坤[1] 

机构地区：[1]中国人民解放军总医院

出　　处：《护理研究（下旬版）》2010年第7期1902-1903,共2页Chinese Nursing Researsh

摘　　要：[目的]探讨老年病人肝移植术后发生腹泻的原因及护理。[方法]对27例肝移植术后发生腹泻的老年病人进行回顾性统计分析。[结果]本组17例(62.96%)为服用免疫抑制剂所致;3例(11.11%)在使用抗生素后出现;2例(7.40%)是因腹腔感染且长期使用抗生素引起;5例(18.51%)是采用胆总管空肠Roux-Y吻合术式的肝移植术后病人。[结论]正确评估腹泻、根据腹泻的性质进行饮食指导、注意观察治疗用药的效果以及预防水电解质紊乱、肛周皮肤糜烂等是防治肝移植术后腹泻的重要措施。Objective：To probe into causes of elderly patients developed diarrhea after undergoing liver transplantation and nursing measures for them. Methods：A total of 27 elderly patients developed diarrhea after liver transplantation were analyzed retrospectively. Results：In this group,17 cases （62.96%） were induced by orally taking immunosuppressive agents,3 cases （11.11%） were due to the use of antibiotics,2 cases （7.40%） were got intra-abdominal infection and accepted long-term use of antibiotics.Another 5 cases （18.51%） were patients who accepted postoperative liver transplantation by adopting common bile duct and jejunum Roux-Y anastomosis.Conclusion：Correct assessment of diarrhea,dietary guidance based on the nature of diarrhea, and to observe the therapeutic effect of drugs and prevention of water and electrolyte disorders, and prevention and treatment of perianal skin erosion are important measures for prevention and treatment of postoperative diarrhea for elderly patients after liver transplantation.

关 键 词：肝移植 术后腹泻 老年病人 护理 

分 类 号：R473.6[医药卫生—护理学]