肝移植术后患者行脾动脉栓塞治疗的护理体会  

Experience from nursing of splenic artery embolization patients after liver transplantation

作　　者：李颖[1] 孙璐[1] 李俊杰[1] Li Ying;Sun Lu;Li Junjie(Tianjin First Center Hospital,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院,300192

出　　处：《中国中西医结合急救杂志》2018年第3期324-325,共2页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：目的探讨肝移植术后患者行脾动脉栓塞治疗的护理体会。方法回顾性分析天津市第一中心医院2016年1月至2017年7月收治的8例肝移植术后睥功能亢进接受脾动脉栓塞治疗患者的术后护理资料，观察其并发症发生情况。结果经过治疗和细心护理，8例患者均未出现术后严重并发症。1例出现头晕、恶心、呕吐患者，肌内注射盐酸甲氧氯复安10mg后1h恶心缓解。3例出现发热症状，2例体温未超过38℃，患者可耐受，多饮水后体温恢复至37℃以下，1例持续发热患者肌内注射安痛定2mL2h后体温降至37.3℃，4h后体温降至正常。1例患者返回病房后4h松解压迫器，1周后出现穿刺点渗血，重新拧紧压迫器，渗血停止，未出现血肿。7例患者术后疼痛可耐受；1例患者疼痛剧烈，疼痛评分7分给予多瑞吉贴剂以缓减疼痛。8例患者均未出现血栓，均治愈出院。结论对肝移植术后行脾动脉栓塞治疗后细致病情观察、对症支持治疗、防范术后并发症的出现是确保患者安全、保证护理质量的关键。Objective To investigate the nursing care experience of patients with splenic artery embolization after liver transplantation. Methods Eight hypersplenism patients after liver transplantation and treated with splenic artex^y embolization therapy admitted to Tianjin First Center Hospital from January 2016 to July 2017 were enrolled, their nursing postoperative measures were retrospectively analyzed, and the incidences of complications were observed. Results After treatment and careful nursing, no serious postoperative complications oceured in all 8 patients. One postoperative patient appeared dizziness, nausea, vomiting, after metoclopramide dihydrochloride injection l0 mg intramuscular injection for 1 hour, later nausea was ameliorated. There were 3 cases with fever, their temperature in 2 cases did not exceed 38 ℃ , and they could tolerate, after drinking extra water, their temperature was lowered to below 37 ℃ , one case with persistent fever received intramuscular injection of aminophenazoneco 2 mL, 2 hours later, the temperature dropped to 37.3 ℃ , and after 4 hours the body temperature returned to normal. One case returned to the ward for 4 hours when the compressor was released, one week later, blood exudation was seen at the puncture point, by tightening the compressor again, the exudation was stopped and no hematoma occurred. The postoperative pain tolerance was observed in 7 cases; 1 case suffered from severe pain of score 7, fentanyl transdermal patches were used to relieve pain. None of the 8 patients showed thrombosis. After careful treatment and nursing care, all the 8 patients were discharged from hospital upon recovery. Conclusion After the splenic artery embolization treatment was carried out for postoperative patients with liver transplantation, their disease situations should be carefully observed, symptomatic treatment ought to be done and the occurrence of postoperative complications should be prevented to guarantee the patients＇ safety, that are the key measures to ensure the nursing

关 键 词：肝移植 脾动脉栓塞 护理 

分 类 号：R737.33[医药卫生—肿瘤]