临床护理路径在血管瘤切除手术患者护理中的应用效果分析

目的:研究在血管瘤切除手术患者中采取临床护理路径的效果。方法:根据患者入院就诊时间的不同将本院2015年12月至2016年12月收治的54例血管瘤切除手术患者随机均分为参照组(n=27)与观察组(n=27),参照组实行常规护理干预,观察组实行临床护理路径干预,分析对比两组患者各项指标情况。结果:经对症护理之后,观察组血管瘤切除手术患者住院费用(4563.64±213.24)元、住院时间(4.01±0.35)天、知识掌握情况(96.54±5.23)分、护理满意度96.29%等指标与参照组数据进行对比P<0.05,差异具有统计学意义。结论:将临床护理路径应用于护理血管瘤切除手术患者中效果显著,值得借鉴应用。

临床护理路径在血管瘤切除手术患者护理中的应用

目的:探讨临床护理路径在对血管瘤切除术患者护理过程中的应用效果。方法:选取98例血管瘤切除手术治疗的患者为研究对象,随机分为观察组和对照组,每组49例患者,观察组患者临床护理路径进行临床护理服务,对照组患者运用常规的护理方法实施护理服务。结果:观察组患者住院时间、治疗费用以及疾病相关知识的掌握程度和对护理的满意程度明显优于对照组,具有统计学意义(P<0.05)。结论:在对血管瘤切除手术患者实施护理服务的过程中,临床护理路径可以缩短患者的住院时间,减少住院费用,提高疾病相关知识的掌握程度和对护理的满意程度,具有显著的效果,值得临床推广。

临床护理路径在血管瘤切除手术患者护理中的应用

目的:观察临床护理路径在血管瘤切除手术患者护理中的应用效果。方法:选择2016年2月一2017年3月期间在我院接受手术切除治疗的血管瘤患者56例作为研究对象,随机划入观察组和对照组,其中观察组28例,对照组28例,分别接受临床护理路径和常规护理,比较两组患者的KAP评分与护理满意度。结果:观察组患者平均知识评分20.4±0.6,态度5.1±0.6,行为15.2±0.8,护理满意度92.9%;对照组患者平均知识评分24.5±0.8,态度6.9±0.3,行为18.6±0.4,护理满意度71.4%;组间差异有统计学意义,P<0.05。结论:临床护理路径在血管瘤切除手术患者护理中的应用效果显著,值得临床应用与推广。

A special recurrent pattern in small hepatocellular carcinoma after treatment:Bile duct tumor thrombus formation

AIM:To investigate the clinicopathologic features of bile duct tumor thrombus(BDTT) occurrence after treatment of primary small hepatocellular carcinoma(sHCC) .METHODS:A total of 423 patients with primary sHCC admitted to our hospital underwent surgical resection or local ablation.During follow-up,only six patients were hospitalized due to obstructive jaundice,which occurred 5-76 mo after initial treatment.The clinicopathologic features of these six patients were reviewed.RESULTS:Six patients underwent hepatic resection(n=5) or radio-frequency ablation(n=1) due to primary sHCC.Five cases had an R1 resection margin,and one case had an ablative margin less than 5.0 mm.No vascular infiltration,microsatellites or bile duct/canaliculus affection was noted in the initial resected specimens.During the follow-up,imaging studies revealed a macroscopic BDTT extending to the common bile duct in all six patients.Four patients had a concomitant intrahepatic recurrent tumor.Surgical re-resection of intrahepatic recurrent tumors and removal of BDTTs(n=4) ,BDTT removal through choledochotomy(n= 1) ,and conservative treatment(n=1) was performed.Microscopic portal vein invasion was noted in three of the four resected specimens.All six patients died,with a mean survival of 11 mo after BDTT removal or conservative treatment.CONCLUSION:BDTT occurrence is a rare,special recurrent pattern of primary sHCC.Patients with BDTTs extending to the common bile duct usually have an unfavorable prognosis even following aggressive surgery.Insufficient resection or ablative margins against primary sHCC may be a risk factor for BDTT development.

走在寻找“光明”的路上

2013年年底,我到包头医学院一附院采访,离开时看到了几名穿红马甲的义工。出于报社记者的职业敏感,我走上前了解情况,由此得知了一个叫梁蓉的女孩儿的故事。这孩子出生6个月便被诊断出先天性血管瘤,7个月时父亲离家出走,2岁多时母亲患了脑梗,左半身行动不便……这一天,是梁蓉做完血管瘤切除手术出院的日子,义工们来帮忙办理出院手续。