目的 分析腹腔镜胰体尾联合脾脏切除术的临床护理效果.方法 选取我院2012年12月—2017年12月接收的70例实施腹腔镜胰体尾联合脾脏切除术治疗的患者作为研究对象,采用计算机产生随机数字,分为研究组和参照组.参照组35例实施常规护理干预,研究组35例予以综合护理服务.比较2组护理满意度以及手术各临床指标.结果 研究组护理满意度为97.14％,高于参照组的74.29％,差异具有统计学意义(P<0.05);研究组手术出血量、手术时间、住院时间均少于参照组,差异有统计学意义(P<0.05).结论 对腹腔镜胰体尾联合脾脏切除术患者予以综合护理干预,效果较好,值得推广.

目的为进一步提高对肝细胞癌合并胆管癌栓的外科治疗的护理质量。方法回顾分析自1991-07-2009-12本院外科手术治疗肝细胞癌合并胆管癌栓46例护理情况。结果出现并发症共15例(32.6%),死亡8例,其他均治愈出院。结论术前完善各项术前准备,做好心理护理以及饮食护理;术后做好管道护理、并发症的观察及预防是肝细胞癌合并胆管癌栓外科治疗的护理的要点。

Objective To explore the main nursing points of postoperative complications after percutaneous ablation of primary liver cancer.Methods Seventy four primary liver cancer patients underwent 97 times of percutaneous ablation from January to December in 2009.The nursing experiences in postoperative complications were retrospectively summarized.Results Complications after surgery included fever(53.6%,52/97),abdominal pain(72.2%,70/97),liver abscess(1.0%,1/97),abdominal bleeding(1.0%,1/97),pneumothorax(1.0%,1/97),and pleural effusion(3.1%,3/97).All patients were recovered with symptomatic treatment.Conclusions The strengthened monitoring and nursing of postoperative complications after percutaneous ablation of primary liver cancer may help lessen the pains of the patients and promote the recovery of patients.

对2例以脑缺血为首发表现的儿童烟雾病患者行经全脑血管造影检查后行颞浅动脉、及颞肌贴敷术,结果 患者手术均获得成功.术前进行心理护理,做好充分的术前准备;术后密切观察病情变化,及时观察并发症的发生,予以详细的出院指导等,对确保和巩固手术疗效,促进患者康复至关重要.

目的:探讨肝移植病人术后出现弥漫性脑病原因及护理干预.方法:回顾性分析72例肝移植术后弥漫性脑病的病例及护理.结果:72例患者中68例痊愈,1例死于移植物抗宿主病.结论:笔者认为做好围手术期心理护理及细致观察病情至关重要.

目的:探讨嗅沟脑膜瘤术后常见并发症的临床特点,并发症的危险性及相应的护理对策.方法:通过对术后病人严密的病情观察,及时做好相应的护理措施.结果:21例病例中,9例出现脑脊液漏,7例出现中枢性高热,5例出现电解质改变,6例出现精神改变.予以及时相应的护理之后,症状有明显改善.结论:对嗅沟脑膜瘤术后并发症及护理措施的熟悉掌握,能有效地提高手术愈后率.

出血是肾移植术后的严重并发症,抢救不及时会危及患者生命安全.1996年1月～2003年1月共抢救肾移植术后出血患者18例,其中3例切除移植肾,15例止血成功保存移植肾.根据临床总结,认为密切观察术后生命体征变化、伤口局部渗液及引流液、尿液颜色、量的变化,及早预防,发现出血后迅速组织抢救是救治人/肾的关键.

笔者报道对肝移植病人围手术期进行健康教育,解决在围手术期影响治疗和康复的心理危机.根据病人的具体情况,采取交谈、动作示范、现身说法等形式,并结合宣传资料,通过术前准备期、术后恢复期、出院前健康教育,为病人提供必要的医学护理知识,调动病人积极参与护理活动,提高病人自我保健能力,促进康复,减少术后并发症的发生,提高术后病人的生活质量.

cases of liver transplantation were performed from March 1993 to March 2001 in our hospital. The bile duct hemorrhage occurred in 2 cases because the celiac abscess damaged the blood vessels of the bile duct. 1 case died of multiple organ failure 46 days after transplantation and the other died of lung metastasis of liver cancer 45 days after transplantation. The analysis of the causes of the two cases in nursing showed that the key to prevent infection actively existed in unobstruction of the celiac drainage tube, early diagnosis and treatment of the abdominal abscess.