原发性肝癌术后并发症的护理

On the nursing of the postoperative complications of primary hepatocellular carcinoma

目的提高肝癌切除术后并发症的护理效果。方法搜集我院2000年6月—2007年6月间收治的原发性肝癌手术病例350例,对其术后并发症和护理方法进行回顾性分析。结果术后发生胸腔积液71例,肝功能不全59例,腹腔出血13例,上消化道出血9例,胆汁漏8例,膈下脓肿8例,肺部感染7例,泌尿系感染3例。结论肝脏手术后应进行严密监护,密切观察病情变化,做好各种引流管的护理,才能减少和及时发现大出血、胸腔积液、肝功能衰竭、术后感染等并发症,降低患者病死率。

Objective To analyze the complications following hepatectomy and discuss their nursing methods. Methods The medical records of 350 hospitalized patients with primary hepatoeellular carcinoma from June 2000 to June 2007 were collected and their postoperative complications and nursing methods were retrospectively analyzed. Results The complications of the 350 patients included 71 cases of pleural effusion, 59 cases of hepatic insufficiency, 13 cases of intra - abdominal hemorrhage, 9 cases of upper gastrointestinal hemorrhage, 8 cases of bile leakage, 8 cases of subphrenic abscess, 7 cases of pulmonary infection and 3 cases of infection of the urinary system. Conclusons Careful monitoring following hepatic surgery should be conducted to observe the changes of pathogenetic conditions and drainage tubes after hepateetomy so as to reduce and promptly discover complications such as intra- abdominal hemorrhage, pleural effusion, liver dysfuetion and postoperative infection and to reduce the morbidity and mortality.