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450例肝穿刺术的护理体会 被引量:4

Nursing Experience of Liver Puncture in 450 Cases of Patients with Chronic Hepatitis B
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摘要 目的探讨肝炎患者行肝穿刺的护理。方法对450例肝穿刺者的术前、术中和术后各期进行相应护理。医护人员积极做好患者及家属的宣传教育,并以周到的护理行为满足患者的护理要求。结果穿刺取材成功率为100%。181例(40.2%)出现局部疼痛,5例出现迷走神经兴奋症状,经处理后好转。无出血、气胸、血气胸、胆汁性腹膜炎、休克等严重并发症。手术前后血压及体温比较无显著差异,生命体征无较大波动。结论肝穿刺术安全、不良反应轻微,针对性实施心理护理对肝穿刺者的治疗和预后有重要意义。 Objective To investigate the nursing care of liver puncture in patients with hepatitis. Methods Four hundred and fifty cases of liver punctures in preoperative, intraoperative and postoperative phases were nursed. Both medical and nursing staffs actively carried out publicity and education of patients and their families. Nursing staffs provided good service to meet the care demands of patients with chronic hepatitis B. Results The liver puncture was successfully made in all the patients with hepatitis, in this series, pains in local skin occurred in 181 cases (40.2%) and relieved gradually, 5 cases with sinus bradycardia, hypotension, all the symptoms disappeared after the use of atropine by intravenous injection. There was no bleeding, pneumothorax, pneamo hemothorax, biliary peritonitis, shock and infection. Conclusion The liver puncture is a safe, effective and slightly traumatic method for diagnosis of patients. Providing appropriate psychological nursing care would be important for prevention, treatment and prognosis of patients with hepatitis.
作者 陈爱玲
出处 《中国现代医生》 2011年第17期90-91,93,共3页 China Modern Doctor
基金 浙江省温州市医药卫生科研项目(编号:2005098)
关键词 肝穿刺 护理 慢性乙型病毒性肝炎 Liver puncture Nursing care Chronic hepatitis B
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