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183例部分脾动脉栓塞的护理体会
作者:徐静 孙海英  张淑芹 
单位:吉林省肝胆病医院 长春 130062 
关键词:肝硬化 脾功能亢进 脾动脉 栓塞 护理 
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出版年,卷(期):页码:2012,4(2):21-24
摘要:

摘要:目的 探讨部分脾动脉栓塞术治疗肝硬化脾功能亢进的护理方法。方法 对183例肝硬化所致脾功能亢进患者采用Seldinger技术行部分性脾动脉栓塞,术前及术后给予精心护理。结果 术后所有患者白细胞、血小板计数逐渐提升至正常水平,脾区疼痛的发生率为97.81%,发热发生率为86.34%,腹水发生率为15.85%,均于术后2周内恢复正常,且未出现脾脓肿等严重并发症。结论 部分脾动脉栓塞术治疗肝硬化脾功能亢进疗效理想,方法安全。术前做好详细的病情评估及严格掌握适应证,术后重视病情观察和护理可减少并发症的发生。

Abstract: Objective To explore the method of nursing care with partial splenic embolization (PSE) of hypersplenism on liver cirrhosis. Methods Total of 183 cases were given PSE with Seldinger technique, and careful nursing care were given before and after operation. Results After operation, white blood cells, platelet count of all cases gradually increase to normal level. The rate of pain in spleen, fever and ascite were 97.81%, 86.34% and 15.85%, respectively, which returned to normal after two weeks, and serious complications such as splenic abscess did not appear. Conclusions PSE for liver cirrhosis patients with spleen function hyperthyroidism was a safe method with significant curative effect. Assessing the patients’condition carefully and control indications strictly before operation, paying attention to observation and nursing care can decrease the complications.

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