摘要
目的探讨部分脾动脉栓塞术（PSE）后并发症的发生原因及其护理。方法18例肝炎后肝硬化、门脉高压继发脾功能亢进患者，在DSA引导下，将5FRH型或Cobra型导管经股动脉穿刺选择性地插入脾动脉内，用1mm×1mm×1mm明胶海绵块60—120枚与抗菌素和造影剂混合后，在透视监视下分次注入脾动脉。术后1、2、3、4周和半年复查血常规、肝功能、血尿淀粉酶、脾脏B超或CT。结果术后并发症包括发热、腹痛、胸水、腹水、顽固性呃逆、脾脓肿、肝肾功能损害、门静脉血栓、左下肺炎等。结论掌握脾栓塞术后并发症发生的原因，给予及时准确的护理，可以减少或避免并发症的发生，提高手术成功率。
Objective To investigate the causes of the postoperative complications from partial splenic embolization （PSE） and make the nursing measures. Methods 18 patients with secondary hypersplenism due to posthepatitic cirrhosis and portal hypertension,SF RH type or Cobra catheter was placed selectively into splenic artery through femoral artery by DSA fluoroscopy. 60 - 120 masses of 1 mm × 1 mm × 1 mm gelfoam mixed with antibiotic and contrast medium were injected fractionally. The routine blood test, hepatic function, serum amylase, urinary amylase, Bmode ultrasonic or CT scan on spleen were tested regularly in week 1, week 2, week 3, week 4 and half-year after PSE. Results The Postoperative Complications iucluded fever, abdom inal pain, pleural effusion, ascites pertinacious hiccup, splenic abscess impairment of liver and renal function, portal thrombosis left-lower pneumonia and so on. Conclusion Mastering the causes of the complications related to PSE and giving accurate nursing in time may decrease or avoid the incidence of complications and increase the success ratio of operation.
出处
《中国基层医药》
CAS
2008年第9期1487-1488,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
脾功能亢进
脾动脉
栓塞
治疗性
Hypersplenism
Splenic artery
Chemoembolization, therapeutic
