摘要
目的探讨腹腔镜肝脏切除术的围术期护理。方法对15例经腹腔镜肝叶切除患者术前和术后的护理行回顾分析并与23例经开腹肝脏切除患者进行比较。结果密切配合手术进行护理,除3例患者中转行开腹手术外,其余患者均无出血、胆漏、下肢深静脉血栓形成等严重并发症,术后22～32h下床活动,36～48小时肛门排气,12～20天出院。结论腹腔镜肝脏切除术具有安全性和创伤性小的特点,密切配合手术进行护理对手术术患者安全渡过围手术期具有重要意义。
Objective To summary the perioperative clinical nursing care characteristics of laparoscopic liver resection （LLR）.Methods 15 patients underwent LLR were analyzed retrospectively and compared with 23 patients underwent per abdomen hepatectomy.Results All the LLR patients did not suffer from the severe postoperative complications including abdominal bleeding,bile leakage,and deep vein thrombosis of Lower limb,unless 3 patients were transited to per abdomen liver resection.The off-bed ambulation,anal aerofluxus and hospitalization time of LLR group was 22-32 h,36-48 h and 12-20 d,respectively,all of which were shorter than that of per abdomen group.Conclusion LLR is safe and minimally invasive;however,the high quality perioperative nursing care is essential for patients safe through the perioperative period.
出处
《岭南现代临床外科》
2011年第6期476-478,共3页
Lingnan Modern Clinics in Surgery
关键词
腹腔镜
肝脏切除
护理
Laparoscopic
Liver resection
Nursing care
