门脉高压脾切除术后持续发热的原因分析及护理

Analysis of the Reasons and Nursing of Persistent Fever after Splenectomy for Portal Hypertension

目的分析门脉高压脾切除术后,患者持续发热的原因,并以此为基础探讨有效的护理方案。方法选取2007年12月—2012年12月间于该院进行门脉高压脾切除术的患者130例,挑选术后持续发热的患者29例,统计其术后持续发热的原因,找出合理的护理方案。结果 29例患者中,不明原因患者6例,其余患者发热均由并发症引起,术后持续发热与肝功能等级划分及手术方式无直接关系(P>0.05)。结论对门脉高压脾切除患者,采取合理的措施预防术后并发症,是减少术后持续发热的有效手段,值得我们重视。

Objective To analyze the reasons of persistent fever after splenectomy for portal hypertension, and on this base, investi-gate the effective nursing plan. Methods 130 cases of patients underwent splenectomy for portal hypertension in our hospital from December, 2007 to December, 2012 were selected. Of whom, there were 29 cases of patients with postoperative persistent fever, the reasons caused postoperative persistent fever were counted and reasonable nursing plan was founded. Results Of the 29 pa-tients with postoperative persistent fever, the fever of 6 patients was caused by unexplained reasons, the fever of the rest patients caused by complications, postoperative persistent fever was not directly related with liver function classification and surgical meth-ods（P〉0.05）. Conclusion For patients underwent portal hypertension splenectomy, taking reasonable measures to prevent postopera-tive complications is an effective means for reducing postoperative persistent fever, which is worthy of our attention.