肝癌合并脾功能亢进行肝脾动脉联合栓塞治疗患者的观察及护理  

Postoperative observation and nursing of double intervention therapy in patients with hepatocellular carcinoma accompanying hypersplenism

作　　者：黄艳红[1] 花晓莉[1] 黄加胜[1] 

机构地区：[1]南京医科大学附属淮安第一医院,223300

出　　处：《中国实用护理杂志》2014年第31期38-40,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨肝癌合并脾功能亢进患者行肝脾动脉联合栓塞治疗的护理问题与措施.方法 对30例肝癌合并脾功能亢进介入术患者从术前、术后及心理方面总结护理经验与体会.结果 30例患者手术均得以顺利完成,患者肿瘤缩小,脾功能亢进好转：白细胞、血小板均有不同程度的升高,患者均有不同程度的发热、腹痛、恶心、呕吐等不良反应,无严重并发症发生.结论 联合动脉栓塞治疗肝癌并脾功能亢进前后认真细致的护理、及时有效的观察和采取恰当护理措施,可减轻术后不良反应,避免严重并发症的发生,促进患者康复.Objective To explore the postoperative observation and nursing of double intervention therapy in patients with hepatocellular carcinoma accompanying hypersplensim.Methods The nursing of 30 patients with hepatocellular carcinoma accompanying hypersplensim who received hepatic arterial embolization combined with partial splenic embolization was retrospectively analyzed.Adverse events and nursing experience were summarized.Results All patients had varying degree of fever,abdominal pain,nausea,vomiting and other side effects.The tumor size was reduced and white blood cells and platelets increased to varying degrees.Hypersplenism was relieved after treatment,and serious complications didn＆#39;t occur.All 30 cases were discharged.Conclusions In double interventional therapy for hepatocellular carcinoma accompanying hypersplenism,nurses must closely observe the disease and take measures to treat the postoperative side effects and serious complications,and promote the rehabilitation of patients.

关 键 词：原发性肝癌 脾功能亢进 介入治疗 护理 

分 类 号：R473.73[医药卫生—护理学]