原发性肝癌破裂出血23例临床护理

Clinical nursing care of 23 patients with spontaneous breach in primary liver cancer

目的:探讨原发性肝癌破裂出血围术期的护理方法。方法:对原发性肝癌破裂出血患者,术前严密观察病情,行抗休克、止血治疗,保持呼吸道通畅;术后做好病情观察、心理护理及体位护理,预防及治疗并发症。结果:本组休克均得到纠正,9例手术止血者,治愈6例,好转3例;14例行非手术治疗,好转12例,死亡2例。结论:做好围术期护理,迅速建立有效输液通路,纠正失血性休克,预防并发症的发生是抢救原发性肝癌破裂出血成功的关键,可为患者的后续治疗赢得宝贵时间,提高抢救成功率。

Objective： To explore perioperative nursing care in the treatment of spontaneous breach in primary liver cancer. Methods： Comprehensive measures were taken in the treatment, such as close preoperative observation, antishock, staunching, postoperative observation on patient＇ s condition, mental care, posture care and prevention of complications. Results： The shock of all patients was corrected; staunching was applied to 9 patients, 6 of them were cured, 3 patients improved. 14 patients were given non- surgical treatment, 12 patients of them became better, 2 patients were dead. Conclusion ： Rapid set - up of transfusion access, correction of hemorrhagic shock and prevention of complications are very important to increase rescue rate in the treatment of spontaneous breach in primary liver cancer.