腹腔镜胆囊切除术后腹腔出血再次腹腔镜探查患者的护理  

Nursing for patients with laparoscopic approach to postoperative abdominal bleeding after laparoscopic cholecystectomy

作　　者：何月红[1] 王建华[1] 刘维[1] 

机构地区：[1]江苏省中西医结合医院普外科,江苏南京210028

出　　处：《实用临床医药杂志》2013年第10期84-85,97,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨腹腔镜手术后腹腔出血的观察及再行腹腔镜探查术的围术期护理。方法回顾性分析7例腹腔镜胆囊切除术后腹腔出血再次腹腔镜探查术患者的临床资料。结果 7例患者中,2例为Trocar戳孔出血,2例大网膜粘连剥离面血管出血,1例胆囊动脉后支出血,2例胆囊床渗血。7例患者再次手术均顺利,手术时间为40～80 min,无术后再出血、胆漏、感染等并发症。结论腹腔镜胆囊切除术后应严密观察,腹腔出血再次手术后必须做好引流管、胃肠功能恢复护理及心理护理。Objective To explore the perioperative nursing for the patients with laparoscopic approach to abdominal bleeding after laparoscopic cholecystectomy.Methods Clinical materials of 7 patients with laparoscopic approach to abdominal bleeding after laparoscopic cholecystectomy were analyzed retrospectively.Results Among the 7 patients,2 patients had Trocar bleeding,2 patients had vascular bleeding of omental adhesion stripped surface,one patient had posterior bleeding of cystic artery and 2 patients had staxis in gallbladder bed.All the patients underwent operations successfully,and the duration of operation time was 40 to 90 minutes.No complications such as rehaemorrhagia,bile leakage and infection were observed after operation.Conclusion After laparoscopic cholecystectomy,the related work such as rigorous observation on abdominal bleeding,placement of drainage tube in postoperative period,nursing for patients with rehabilitation of gastrointestinal function and mental nursing should be well arranged and implemented.

关 键 词：腹腔镜胆囊切除术 出血 腹腔镜探查 围术期护理 

分 类 号：R473.6[医药卫生—护理学]