摘要
目的回顾性分析肝癌介入治疗后发生肝脓肿的危险因素,探讨肝癌介入术后并发肝脓肿的临床护理要点。方法回顾性分析2003年2月-2010年2月822例肝癌介入治疗术后并发肝脓肿17例临床资料,随机抽取同期17例肝癌介入治疗后无肝脓肿患者作为对照组。观察并发肝脓肿的临床表现、治疗转归等临床特点,并总结其临床护理要点。结果 822例患者TACE术1 694次中共发生19次肝脓肿,发病率为1.12%。肝脓肿临床表现有肝大、肝区疼痛、发热、白细胞增多,发病时间为术后9-29(18±9)d。除1例由于诊断治疗不及时死亡外,余16例均康复出院。结论肝癌肝动脉化疗栓塞术(TACE)后肝脓肿并发症具有一定的临床特点,术前胆道梗阻是TACE并发肝脓肿的易感因素;针对性的观察和护理有助于改善预后。
Objective To study the key points in clinical nursing for patients with liver abscess by retrospectively analyzing its risk factors after interventional transhepatic artery chemoembolization（TACE） for liver cancer.Methods Clinical data about liver abscess occurred in 17 out of 822 patients with liver cancer who underwent interventional TACE from February 2003 to February 2010 in our hospital were retrospectively analyzed.Another 17 patients who did not develop liver abscess after interventional TACE served as a control group.Their clinical manifestations and outcomes of treatment were observed,and the key clinical nursing points for such patients were summarized.Results Nineteen liver abscesses occurred in 822 liver cancer patients after 1 694 times of TACE with an incidence of 1.12%.The clinical manifestations of liver abscess included hepatomegaly,liver pain,fever,and leukocytosis,which occurred 9–29 days after operation（average 18±9 days）.One patient died because of delayed diagnosis and treatment,the remaining 16 patients were cured and discharged.Conclusion Liver abscess after TACE for liver cancer is characterized by certain clinical manifestations.Biliary obstruction before operation is its predisposing factor.Careful observation and nursing of such patients can improve its prognosis.
出处
《军医进修学院学报》
CAS
2012年第4期377-378,381,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
肝脓肿
介入治疗
危险因素
肝动脉化疗栓塞术
护理
liver abscess
interventional therapy
risk factors
transhepatic artery chemoembolization
nursing care
