两例肝硬化伴脾功能亢进行部分脾栓塞术的治疗及护理

Nursing of Two Cases with Wernicke's Encephalopathy Caused by Gravidic Vomiting

自1999年6月,对2例肝硬化伴脾功能亢进行部分脾栓塞术治疗的患者进行了周密护理,无并发症出现。脾栓塞术后均有不同程度的体温升高,与感染无关。术后均出现中至重度左上腹疼痛,与栓塞后脾梗死和包膜紧张有关,给予镇定和除痛处理,10天内疼痛消失。主要护理方法:术前护理应做好术前检查、用品准备及患者心理准备。术后保证患者平卧、注意观察体温变化、辅助除痛治疗、保证电解质平衡、防止感染等并获得成功。

From June, 1999, we have taken care of two patients of hepatocirrhosis who were undergoing splenic embolism therapy and without any complications. After the therapy of splenic embolism, they have experienced the increase of body temperature in various degree and with no relation with infection. There appeared mild to severe upper abdominal pain which was related to splenic infarction and envelope strain. Then they received sedation and painreleasing therapy and then pain disappeared in ten days. The main methods of nursing are as follows. Improve nursing, pay attention to examination and psychological preparation before the therapy. Keep the patient lying in horizontal position, note the body temperature, accompanying with anaethesisa and balance the electrolyte after the therapy.