摘要
目的总结肝移植患者术后早期并发急性阑尾炎的护理体会。方法回顾性分析我院器官移植中心3例肝移植术后早期并发急性阑尾炎以及4例误诊为阑尾炎的患者的临床资料及护理体会。结果3例患者分别于肝移植术后第8，9，13d出现急性阑尾炎的症状，包括右下腹阵发性疼痛，发热。3例均行急诊阑尾切除术，术后顺利恢复。4例误诊为急性阑尾炎的患者，1例为术后9d十二指肠憩室并穿孔，1例为术后6d空肠穿孔，2例术后5d及11d出现胆漏。结论肝移植术后阑尾炎的发病率低，起病急，病情发展快，一旦确诊尽早行阑尾切除术。细致的早期监测与护理，是及早发现和及时确诊肝移植术后并发急性阑尾炎、提高肝移植成功率的关键。
Objective To summarize the nursing care of acute appendicitis after orthotopic liver transplantation. Methods Clinical data and nursing experience of 3 liver transplantation recipients who complicated acute appendicitis and 4 cases who misdiagnosed acute appendicitis in the early postoperative period in our hospital were retrospectively analyzed. Results Three of which initially presented the symptoms of acute appendicitis in 8 d, 9 d and 13 d respectively after liver transplantation, including right lower quadrant paroxysmal pain, fever, and was emergenfly performed appendectomy and then got recover well. Of another 4 cases, duodenal diverticulum complicated perforation in 1 case in 9d and jejunum perforation in 1 case in 6d and bile leakage in another two cases respectively in 5d and 11d after liver transplantation. Conclusions Morbidity rate of acute appendicitis was low after liver transplantation, but it always had a severe situation, and immediately needed to be operated once diagnosed, which benefits for patients＇ recovery. Careful nursing management is very important for the immediate diagnosis of receipts complicated acute appendicitis and also enhanced the recipients＇ success rate after liver transplantation.
出处
《中华现代护理杂志》
2010年第15期1769-1771,共3页
Chinese Journal of Modern Nursing
基金
广东省护理学会基金（A2009034）
China Medical Boardin New York（No.06837）
关键词
肝移植
急性阑尾炎
护理
Liver transplantation
Acute appendicitis
Nursing care
