摘要
目的 总结肝移植术后早期再次剖腹探查的原因,探讨术后的护理特点.方法 回顾性分析175例成人肝移植的临床资料,对术后早期需再手术病例的原因和监测要点进行分析总结.结果 175例患者住院期间再次手术21例,再手术率为12.0%（21/175）.再手术原因包括,腹腔内出血14例（66.7%）、胆道并发症4例（19.0%）、伤口愈合不良3例（14.3%）.术后死亡8例,再手术病死率为38.1%.结论 腹腔内出血是导致肝移植术后早期再次剖腹探查的最主要原因.了解再手术的原因,加强术后患者的监测与护理,对提高肝移植存活率具有重要意义.
Objective To summarize the causes of reoperation during early postoperative period in liver transplantation in adults and to explore the postoperative nursing measures. Methods The clinical data of 175 adult liver transplantation between July 2007 and July 2009 were retrospective analyzed, and the causes and monitoring points of reoperation were summarized. Results The incidence of reoperation was 12. 0%. The causes of reoperation included intra-abdominal bleeding in 14 cases （66. 7% ） , biliary complications in 4 cases （19.0% ） and poor healing wound in 3 cases（14.3%）. Eight patients died after reoperation with the mortality of 38.1%. Conclusions Intra-abdominal bleeding is the main reason of reoperation during early postoperative period in liver transplantation. Knowing the causes and emphasizing on nursing and monitoring can raise the survival rate after liver transplantation.
出处
《中华现代护理杂志》
2010年第22期2637-2638,共2页
Chinese Journal of Modern Nursing
关键词
肝移植术
再次手术
护理
Liver transplantation
Reoperation
Nursing
