Observation and nursing for patients complicated with pancreatic leakage after upper abdominal multiple organ transplantation
10.3760/cma.j.issn.1672-7088.2017.20.008
- VernacularTitle:上腹部多器官联合移植术后胰漏的观察及护理
- Author:
Haidan YE
;
Xinchun LUO
;
Qiujiang DOU
;
Yanzhao MA
;
Qiaoling ZENG
;
Xiaofeng HE
;
Peijiao LIAO
- Keywords:
Nursing care;
Postoperative complications;
Upper abdominal multiple organ transplantation;
Pancreatic leakage
- From:
Chinese Journal of Practical Nursing
2017;33(20):1551-1553
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nursing points of pancreatic leakage after upper abdominal multiple organ transplantation. Methods 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.
