摘要
目的总结全离体肝切除、余肝自体移植治疗终末期肝泡型包虫病（AE）临床护理经验和技巧。方法回顾性分析新疆医科大学第一附属医院2010年8月-2013年6月实施全离体肝切除、余肝自体移植术的10例终末期肝泡型包虫病患者的临床资料，分析临床护理中的方法与技巧，总结护理经验和规范。结果10例终末期肝AE患者均成功接受了全离体肝切除、余肝左外叶自体移植术。10例均顺利出院，未发生护理相关并发症。术后随访2～26个月，除病例Ⅰ于移植术后6个月因高热意外死亡外，余9例肝功能各项指标正常，肝内外均未见新生病灶，均健康存活。结论自体肝移植术后早期护理工作极为重要。严密监测各项生命体征，维持内环境稳态，密切观察各引流管分泌物，及早发现和处置潜在的手术相关并发症是自体肝移植临床护理的关键。
Objective To explore the clinical nursing experience and skill of ex-vivo liver resection followed by autotransplantation for end-staged hepatic alveolar echinococcosis. Methods The data of 8 patients who received ex-vivo liver resection and liver autotransplantation in our hospital from August 2010 to June 2013 were reviewed. The clinical nursing experience and skill of all cases was analyzed and summarized. Results Ten patients who suffered from the end-staged hepatic alveolar echinococcosis had successfully undergone ex-vivo liver resection followed by remnant liver autotransplantation. All the patients had no any clinical nursing complications and discharged from hospital. The postoperative follow-up of 2 to 6 months revealed that 9 patients survived in good health status without intrahepatic or extrahepatie recur rence of alveolar echinococcosis except one accidentally died of the ardent fever six months postoperatively. Conclusion Perfect early postoperative nursing is very important after ex-vivo liver resection followed by autotransplantation. Intensive monitor of vital sign, maintaining internal environment homeostasis, careful observation of all the secretion and immediate treatment of potential complications are key factors to assure the successful liver autotransplantation.
出处
《新疆医科大学学报》
CAS
2014年第4期500-502,共3页
Journal of Xinjiang Medical University
基金
国家高技术研究发展计划(2012AA021006)
教育部创新团队发展计划(IRT1181)
新疆维吾尔自治区科技厅重点课题资助项目(200810104)
关键词
肝泡型包虫病
离体肝切除
自体肝移植
护理
液体出入量
hepatic alveolar echinococeosis
vivo-liver partial resection
liver autotransplantation
clinical nursing
liquid intake and output
