腹部脂肪肉瘤术后并发症的发生情况及护理体会

Occurrence and Nursing Care of Complications after the Surgery of Abdominal Liposarcoma

目的:探讨腹部脂肪肉瘤术后并发症发生情况和护理对策。方法:回顾分析2009年7月—2014年6月复旦大学附属中山医院普外科76例腹部脂肪肉瘤患者术后并发症情况以及护理效果。结果:76例患者中发生吻合口瘘12例、感染18例、各类积液13例,深静脉血栓及大出血各1例;在护理过程中第一时间发现并发症5例,发现异常后汇报给医师并经检查确诊33例;所有并发症经积极治疗和护理,患者均康复出院。结论:腹部脂肪肉瘤术后并发症的观察和治疗需要有高质量的护理。

Objective：To investigate occurrence and nursing care of complications Mter the surgery ot abdominal liposarcoma. Methods：The postoperative complications and nursing efficacy in 76 patients with abdominal liposarcoma treated in the Depart- ment of General Surgery,Zhongshan Hospital,Fudan University from Jul 20119 to Jun 2014 were retrospectively analyzed. Re- suits： In 76 patients, there were 12 cases of anastomotic leakage, 18 cases of infections, 13 cases of various effusions, 1 case of massive hemorrhage and 1 case of deep vein thrombosis. And 5 cases were initially discovered in the nursing process and 33 were diagnosed after a report of abnormal founding by nurses. All were successfully recovered after treatment and nursing. Con- clusions： Active nursing work with a high quality is vital to prevent and treat the postoperative complications after the surgery of abdominal liposarcoma.