摘要
目的探讨肝移植术后胆道并发症患者介入治疗围手术期的护理规范。方法20例患者进行介入治疗,包括经皮肝胆管引流术、经皮胆道球囊扩张术和内支架术,经皮穿刺肝胆汁引流术13例、经皮胆道球囊扩张术5例及支架植入术7例。结果肝移植术后最常见的并发症是胆道并发症,适当的介入治疗可以明显提高移植的成功率,提高受者的生存率。回顾性分析20例肝移植术后胆道并发症患者介入治疗后的观察与护理过程,通过及时的观察与针对性进行有效的护理,减少了患者介入治疗后并发症的发生及与有效的减黄,使患者治疗后获得更好的生活质量和更长的生存时间。结论认真有效的术后护理有利于提高肝移植术后胆道并发症的早期诊治,从而提高移植肝和患者的存活率。
Objective To discuss the perioperative nursing norm for patients who are suffering from biliary complications occurred after liver transplantation and who will receive iuterventional management to treat the complications. Methods Interventional therapies were performed in 20 patients with biliary complications due to liver transplantation. The interventional procedures performed in 20 cases included percutaneous biliary drainage （n = 13）, percutaneous biliary balloon dilatation （n = 5） and biliary stent implantation （n = 7）. The clinical results were observed and analyzed. Results Biliary tract complications occurred after liver transplantation were seen frequently. Proper interventional management could markedly improve the successful rate of liver transplantation and increase the survival rate of the patients. In accordance with the individual condition, proper nursing measures should he taken promptly and effectively. Conclusion Conscientious and effective nursing can contribute to the early detection of biliary complications and, therefore, to improve the survival rate of both the transplanted liver and the patients.
出处
《介入放射学杂志》
CSCD
北大核心
2009年第7期548-549,共2页
Journal of Interventional Radiology
关键词
肝脏移植
胆道并发症
介入治疗
术后观察护理
liver transplantation
bilialy complication
interventional therapy
nursing
