26例成人多囊肝病患者肝部分切除联合囊肿广泛开窗术后并发症的护理  

Nursing of Complications for Patients with Adult Polycystic Liver Disease Treated by Partial Hepatectomy with Wide Fenestration into Hepatic Cysts: A 26-case Study

作　　者：蒋敏君[1] 刘梅[1] 刘芳[1] 张迪[1] 石春凤[1] 

机构地区：[1]第二军医大学东方肝胆外科医院肝外五科,上海200438

出　　处：《护理学报》2013年第18期40-42,共3页Journal of Nursing（China）

摘　　要：介绍26例成人多囊肝病行肝部分切除联合囊肿广泛开窗术后患者并发症的观察与护理体会。密切观察腹腔引流液的颜色、性质、量,警惕并发胆汁性腹膜炎、腹腔出血、大量腹水等并发症;倾听患者主诉,重视患者不同程度的胸闷、胸痛、气促、呼吸困难等胸腔积液症状。本组26例患者出现并发症,其中7例出现1种以上的并发症:腹腔出血1例,大量腹水17例,胸腔积液11例,胆漏2例,感染3例,肾功能衰竭2例,均经对症处理与精心护理后治愈。This paper introduced the nursing of complications for patients with adult polycystic liver disease treated by partial hepatectomy with wide fenestration into hepatic cysts.It was important to observe closely the color,quality and quantity of postoperative intraabdominal drainage liquid for the complications of biliary peritonitis,abdominal hemorrhage and large amount of ascitic fluid.Patients complaints needed to be given special attention and symptoms of pleural effusion such as chest distress,chest pain,shortness of breath and dyspnea should be given attention as well.In the study,one or more complications occurred in 7 patient.Of the total,abdominal hemorrhage occurred in 1 patient,large amount of ascitic fluid in 17,pleural effusion in 11,bile leakage in 2,infection in 3 and renal failure in 2.All the patients recovered after treatment and careful nursing.

关 键 词：成人多囊肝病 肝部分切除术 肝囊肿广泛开窗术 并发症 护理 

分 类 号：R473.6[医药卫生—护理学]