肝癌破裂出血行肝动脉栓塞治疗的护理  

Nursing of Ruptured Hepatocellular Carcinoma Undergoing Transcatheter Arterial Embolization

作　　者：刘翠娥[1] 菅丽[1] 左婧[1] 吕平[1] 王芳[1] 

机构地区：[1]解放军总医院南楼临床部呼吸科,北京100853

出　　处：《现代生物医学进展》2010年第24期4740-4741,共2页Progress in Modern Biomedicine

摘　　要：目的:探讨肝癌自发性破裂出血行急诊肝动脉栓塞治疗手术前后的护理方法。方法:回顾性分析17例原发性肝癌自发性破裂出血患者的急救及护理措施的临床资料。结果:17例患者入院后均有失血性休克表现,经肝动脉栓塞治疗后,治愈出院14例,死亡1例,放弃治疗2例,治疗总有效率为82.4%,死亡率为5.9%。结论:急诊肝动脉栓塞治疗肝癌破裂出血简单、有效,手术前后的护理非常重要,术前应密切注意患者病情变化,做好术前准备,术后常规止血、止吐,加强支持护理,及时观察手术并发症及疗效,积极预防和治疗各种并发症,是降低患者死亡率的关键。Objective： To investigate the nursing of spontaneous rupture of hepatocellular carcinoma treated by transcatheter arterial embolization.Methods： The clinical data of 17 cases of ruptured hepatocellular carcinoma were analysed retrospectively.Results： 17 patients were admitted to hospital after the performance of hemorrhagic shock.All patients were treated with transcatheter arterial embolization,with recovered in 14 cases,1 died,gave up treatment in 2 cases.The total effective rate was 82.4% and the mortality rate was 5.9%.Conclusion： Emergency transcatheter arterial embolization for ruptured hepatocellular carcinoma is simple and effective.Nursing is important before and after transcatheter arterial embolization.Nurses should do good preoperative preparation,pay close at-tention to preoperative patients＇ condition changes,stop the bleeding and vomiting,observe efficacy and prevent complications,which are the keys to reducing mortality.

关 键 词：肝癌 破裂出血 肝动脉栓塞 护理 

分 类 号：R47[医药卫生—护理学]