Peri-operative nursing of infants with cavernous transformation of the portal vein and gastrointestinal bleeding undergoing distal splenorenal shunt
10.3760/cma.j.issn.1672-7088.2014.28.010
- VernacularTitle:小儿门静脉海绵样变并消化道出血行远端脾肾分流术的围手术期护理
- Author:
Xinwen LIU
;
Xiaoqiong HE
;
Hongxia GAN
- Publication Type:Journal Article
- Keywords:
Child;
Portal vein;
Gastrointestinal bleeding;
Peri-operative nursing
- From:
Chinese Journal of Practical Nursing
2014;30(28):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the nursing of infants with cavernous transformation of the portal vein (CTPV) and gastrointestinal bleeding undergoing distal splenorenal shunt.Methods 3 cases of infants with CTPV and gastrointestinal bleeding were given with preoperative nursing for upper gastrointestinal bleeding,strengthening nutritional support; strengthening prevention measures of thrombosis and bleeding complications,monitoring of urine and urine gravity,completing the artery piezometer tube care,paying attention to the discharge guidance and follow-up work.Results The platelet increased in 3 cases post-operation.1 cases occurred abdominal bleeding,but improved after symptomatic treatment.1 case occurred leakage on the site of venous indwelling needle during intravenous infusion of high nutrient solution.3 cases of children received 3 months to 3 years follow-up after discharge,no complications such as liver,kidney and blood clots occurred.Conclusions Infants with CTPV and gastrointestinal bleeding undergoing distal splenorenal shunt is very rare in clinic.Good perioperative care and strengthening the observation of the postoperative complications,attaching great importance to the discharge guidance and follow-up work,are the assurances of successful treatment.
