摘要
目的探讨部分脾动脉栓塞术治疗外伤性脾破裂的护理、并发症的观察及防治。方法采用Seldinger技术对37例外伤性脾破裂行明胶海绵颗粒栓塞部分脾动脉止血，右下腹麦氏点经皮穿刺放置导管引流腹腔积液。结果全部37例经部分脾动脉栓塞术治疗疗效满意，术后1周内，易出现诸如上腹痛、不同程度发热、胸腔积液和穿刺点血肿等并发症，是护理的重要内容。结论做好术前准备，术后应绝对卧床休息2～3d、重视生命体征的监护、强调腹部体征的观察、保证右下腹引流管的通畅、防治股动脉穿刺点血肿及做好发热和疼痛的观察是本病护理的重要环节。
Objective To investigate the nursing care for patients with traumatic spleen rupture after partial splenic embolization （PSE）, observe the complications and how to prevent them. Methods 37 patients with spleen rupture were performed with partial splenic embolization （PSE） by Seldinger＇s methods. After operation all patients were laid catheter to drainage abdominal hydrops by percutaneous on M＇s point, Results All cases were treated by PSE method successfully, Patients should be kept in bed for at least 2 to 3 days and be observed on vital signs and abdominal signs. While catheter drainage and haernatoma of puncture site should also be taken strict precautions. Conclusions It is feasible for patients with traumatic splenic rupture to take PSE operation on the foundation of well preoperative and postoperative nursing care.
出处
《实用全科医学》
2006年第1期115-116,共2页
Applied Journal Of General Practice
关键词
脾破裂
创伤
栓塞术
护理
Splenic rupture
Ttraumatic
Embolization
Nursing care
