102例闭合性肝脾破裂保守治疗的护理体会

目的回顾性分析102例接受保守治疗闭合性肝脾破裂患者的临床资料,总结闭合性肝脾破裂保守治疗的护理体会。方法严格选择具适应证的患者,严密观察患者生命体征、腹部变化、输液量及速度、出入液量、药物的使用情况及效果,同时配合精心的生活护理。结果102例肝脾破裂患者经保守治疗,腹腔积血全吸收,73例肝脾损伤完全恢复,29例肝脾损伤基本恢复,残留少许直径2～3cm左右低密度区或机化灶,随访分别于1～3个月基本消失。结论保守治疗肝脾破裂是安全有效的,对于条件适合的患者可作为首选治疗方案在临床应用。

Objective Retrospective analysis of 102 cases received conservative treatment of blunt liver and spleen rupture in patients with clinical data,summed up the conservative treatment of blunt liver and spleen rupture of Nursing.Methods The strict selection of patients with indication to closely observe the patient＇s vital signs,abdominal changes,infusion volume and speed of access to fluid volume,drug use and effect of living at the same time with the elaborate care.Results 102 cases of liver and spleen rupture in patients with conservative treatment,Hemoperitoneum full absorption of 73 cases of liver and spleen injuries fully restored,and 29 cases of liver and spleen damage the basic recovery,residual 2-3 cm in diameter around a little low-density area or a computerized stove,follow-up 1-3 months,respectively,disappeared.Conclusion Conservative treatment of splenic rupture is a safe and effective for patients with suitable conditions can be used as the preferred treatment programs in the clinical application.