42例胰腺外伤护理体会

Nursing Experience of 42Cases of Patients with Pancreatic Trauma

目的总结胰腺外伤的护理经验,旨在提高该病的临床护理水平。方法回顾性分析42例胰腺外伤病例的临床资料及护理方法。结果 42例患者均行手术治疗,经密切观察病情,加强引流管护理、营养支持、基础护理、心理护理及并发症护理等处理,39例患者治愈,术后死亡3例。1例因合并多器官损伤死于DIC,2例因胰、肠瘘导致败血症死于中毒性休克。术后并发胰瘘8例、腹腔脓肿2例、胰腺假性囊肿5例。结论采取积极的综合护理方法,可提高胰腺外伤的救治成功率。

Objective To sum up the nursing experience of pancreatic trauma in an attempt to improve the clini- cal nursing of this disease. Method Clinical data and nursing method of 42 cases of patients with pancreatic trauma were analyzed retrospectively. Results 42 cases of patients all received surgical treatment and their conditions were closely observed. Through enhancing nursing such as nursing of drainage tube, nutritional support, basic nursing, psychological nursing and nursing of complications, 39 patients were cured and 3 pa- tients died after surgery. 1 case was died of DIC complicated with multiple organ injury and 2 cases were died of toxic shock for intestinal fistula and pancreatic fistula led to septicemia. There were 8 cases complicated with pancreatic fistula, 2 cases with abdominal abscess and 5 cases with pseudocyst of pancreas after surgery. Con- clusion Adopting comprehensive nursing can improve the success rate in the treatment of pancreatic trauma.