摘要
目的探讨上腹部多器官联合移植术后胰漏的护理要点。方法回顾性分析2009年3月至2015年7月因终末期肝病合并2型糖尿病成功接受上腹部多器官联合移植术后患者2例出现胰漏的护理体会。结果2例患者均于术后1周内血糖恢复至正常水平，停用胰岛素，患者分别在术后14、21d出现胰漏，经积极引流及使用抑制胰酶与消化道腺体分泌的药物，加强感染控制及营养支持等保守治疗，术后均顺利康复出院。结论术后密切观察腹部体征、腹部引流管的变化、准确使用生长抑素、营养支持、维持水电解质平衡、心理干预是提高上腹部多器官联合移植术后胰漏恢复的关键。
Objective To investigate the abdominal muhiple organ transplantation. Methods nursing points of pancreatic leakage after upper A retrospective study was conducted on the nursing experience of two patients with end-stage liver disease and type 2 diabetes mellitus who were complicated with pancreatic leakage after upper abdominal multiple organ transplantation from March 2009 to July 2015. Results The blood glucose of these patients returned to normal level within 1 week after operation and insulin was discontinued. Pancreatic leakage was occurred in the two patients at 14 and 21 days after operation, respectively. They were both successfully discharged after active treatments and nursing cares including completely drainage, the application of drugs that inhibited the secretion of pancreatic enzymes and digestive tract glands, strengthening infection control, nutritional support and other conservative treatments. Conclusions It is the key to improve the recovery of pancreatic leakage after upper abdominal multiple organ transplantation with careful observation of abdominal signs and abdominal drainage tube, accurate use of somatostatin, nutritional support, maintenance of water and electrolyte balance, and psychological intervention.
出处
《中国实用护理杂志》
2017年第20期1551-1553,共3页
Chinese Journal of Practical Nursing
基金
中山大学附属第一医院院级护理科研基金（K0505006）
广东省实验室体系建设专项资金项目（2013A061401007）
关键词
护理
手术后并发症
上腹部多器官移植
胰漏
Nursing care
Postoperative complications
Upper abdominal multiple organ transplantation
Pancreatic leakage
