双介入法治疗肝硬化门脉高压症的护理

Nursing of Double Interventional Therapy of Portal Hypertension with Liver Cirrhosis

目的 :探讨经皮肝穿食道胃底曲张静脉栓塞和部分脾动脉栓塞治疗肝硬化门脉高压症的护理。材料与方法 :本组 12例 ,平均年龄 5 1 7岁 ,均为肝硬化门脉高压症患者 ,同时行部分性脾动脉栓塞和经皮肝穿胃冠状静脉栓塞治疗。结果 :12例患者均手术成功 ,术中门静脉压力平均降低 3.76mmHg ,随访 2～ 6个月无 1例再出血 ,脾亢症状明显改善。食道钡餐见 2例曲张静脉消失 ,7例病人由Ⅲ度静脉曲张变成Ⅱ度曲张 ,3例无变化。结论 :术前心理护理 ,术中止痛、止血、止吐、镇静 ,密切观察病情变化 ,术后输液抗炎 。

Objective:To evaluate the nursing of portal hypertension patients with hepatic cirrhosis,who were treated by percutaneous transhepatic variceal cmbolization (PTVE) and partial splenic embolization (PSE).Methods:12 portal hypertension patients with post-hepatitis cirrhosis underwent PTVE and PSE.Their average age is 51.7 years old.Result:The operation of all patients were successful.The free pressure of portal vein decreased 3.75 mmHg averagely after operation.The patients were followed up for 2～6 monthes.There was no recurrence of esophageal variceal bleeding.The symptoms of hypersplenism were relived.Conclusion:We considered some segments could help the operation successful:the psychological nursing before operation,the relieving pain,stopping hemorrhage,relieving vomit,sedation and carefully observing patients in the operation,systemic antibiotic dropping,noticing complication appearing and so on after operation.