摘要
目的:探讨部分脾动脉栓塞术后并发症原因及护理方法。方法:我们对44例脾亢、脾外伤、血液系统疾病患者采取经股动脉穿刺、插管,行部分脾动脉栓塞术,并给予术前准备、术中观察及术后精心护理。结果:本组患者白细胞、血小板术后均不同程度回升,均出现不同程度发热、左上腹疼痛。其中胸腔积液2例,脾脓肿1例,脾假性囊肿2例,均得以控制。1例因术后出现灶性癫痫而死亡。结论:充分术前准备,严格无菌操作,采取有效的术后护理措施,可以减少或避免并发症的发生。
Objective： To discuss the causes to lead to the complications after splenic artery embolization and nursing methods. Methods： The partial splenic artery embolization was applied to 44 patients suffering from hypersplenism, splenic trauma and hematological diseases via femoral artery puncture and catheterization. All the patients were given preoperative preparation, intraoperative observation and postoperative intensive care. Results： The rerising of patients＇white blood cells and platelets in different degree was found after embolization. Fever and pain in left upper abdomen occurred in all patients. Pleural effusion occurred in 2 patients, splenic abscess in one patient and splenic pseudocyst in 2 patients, but the illness were brought under control. One patient died of focal epilepsy. Conclusion ： The sufficient preoperative preparation, strict aseptic operation and effective postoperative nursing measures can reduce or avoid the occurrence of complications.
关键词
脾动脉栓塞术
并发症
护理
Splenic artery embolization
Complications
Nursing
