联合肝脏离断和门静脉结扎二步肝切除术后并发症的发生及护理  

Nursing of patients undergoing staged hepatectomy by liver partition and portal vein ligation

作　　者：李尚琴[1] 杨艳[1] 李海荣[1] 王海英[1] 

机构地区：[1]中山大学附属第一医院肝外科,广东广州510080

出　　处：《现代临床护理》2016年第10期56-59,共4页Modern Clinical Nursing

基　　金：国家自然科学基金项目;项目编号为81373156;广东省器官捐献与移植免疫重点实验室项目;项目编号为2013A061401007

摘　　要：目的了解联合肝脏离断和门静脉结扎二步肝切除术后并发症发生情况及总结其护理经验。方法回顾性总结14例行联合肝脏离断和门静脉结扎二步肝切除术患者的临床资料,对术后并发症发生情况进行分析。结果14例患者均顺利完成手术,第1期术后并发胸腔积液和肺不张6例,急性肾功能衰竭1例;第2期术后并发胸腔积液、肺不张2例,腹水2例,肝功能衰竭3例,胆漏1例。除第2期1例术后14 d出现严重肝肾功能衰竭,经治疗没有好转,家属放弃治疗外,其他患者经积极和精心护理康复出院。结论做好术前后常规护理,严密的术后并发症的观察和精心护理是确保肝脏离断和门静脉结扎的二步肝切除术成功的关键。Objective To summarize the experience of nursing patients undergoing liver partition and portal vein ligation.Method A retrospective review was done to look into the clinical data of 14 patients undergoing staged hepatectomy by way of liver partition and portal vein ligation. The postoperative complications were investigated. Results Fourteen patients went successfully through hepatectomy：6 cases were complicated with pleural effusion, 1 case with acute renal failure. On stage 2, 2 cases were complicated with postoperative concurrent pleural effusion and atelectasis, 2 cases with ascites, 3 cases with liver failure, 1 case with bile leakage. After the tender treatment and nursing, 13 patients got recovered and went home after active treatment. one patient contracted postoperative severe liver and kidney function failure, and his family gave up. Conclusion For the patients with implementation of staged hepatectomy by liver partition and portal liver, it is critical to closely observe postoperative complications and delicate nursing.

关 键 词：联合肝脏离断和门静脉结扎的二步肝切除术 并发症 护理 

分 类 号：R473.6[医药卫生—护理学]