肝脏移植术后初期腹腔出血的观察与护理

Observation and nursing care of early-stage intra-abdominal hemorrhage after liver transplantation

目的总结和探讨原位肝移植患者术后早期发生腹腔内出血的原因及护理对策,从而为诊断、治疗提供线索。方法总结原位肝移植患者术后6例早期腹腔内出血的资料,总结各项监护指标对早期腹腔内出血诊断的意义及护理措施。结果术后24 h至48 h内动态监测生命体征及腹腔引流液、尿量的改变,能及时发现腹腔内出血,提高抢救的成功率。结论应加强对患者术后生命体征和凝血功能、引流液的监护与观察,及时发现腹腔内出血,积极采取有效的护理措施,对肝移植术后早期腹腔内出血抢救的成功率具有重要的意义。

【Objectives】 To study the causes of early-stage intra-abdominal hemorrhage in patients underwent orthotopic liver transplantation（OLT）,find out the effective nursing strategies,and provide clues for diagnosis and therapy.【Methods】 The clinical data of six cases of early-stage intra-abdominal hemorrhage after OLT were analyzed.Both the diagnostic significance of each monitoring indicators in early-stage intra-abdominal hemorrhage and related nursing measures were summarized.【Results】 The dynamic monitoring of vital sign,drainage fluid of abdominal cavity and variation of urine volume in 24 to 48 hours postoperative was significant for discovering the intra-abdominal hemorrhage and improving the achievement ratio of rescue.【Conclusion】 We should enhance the observation and monitoring of vital signs,coagulation function and fluid drainage on postoperative patients.To detect intra-abdominal hemorrhage in time and take effective nursing measures positively.It had important significance for the rescue achievement rate of patients who had occurred early-stage intra-abdominal hemorrhage after OLT.