Risk assessment and nursing strategy of liver transplantation in patients with liver cirrhosis complicated with portal hypertension
10.3969/j.issn.1671-8283.2017.09.005
- VernacularTitle:肝硬化合并门静脉高压患者实施肝移植术中风险评估及护理对策
- Author:
Yuzhen CHEN
1
;
Fengqiu GONG
;
Dianye YAO
;
Xiaojun CHEN
Author Information
1. 中山大学附属第一医院手术室
- Keywords:
cirrhosis;
portal hypertension;
liver transplantation;
risk assessment
- From:
Modern Clinical Nursing
2017;16(9):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors and preventive measures of liver transplantation in patients with liver cirrhosis complicated with portal hypertension. Methods About 63 patients with cirrhosis and portal hypertension were treated with liver transplantation in our hospital from June 2014 to June 2016. The risk factors were investigated and the corresponding care measures were taken. Results All the 63 patients underwent the operation successfully. The total operation time ranged from 276 to 750 min, averaged (450.52 ± 25.43) minutes. The intraoperative blood loss was 300~5,600 mL, averaged (1693.06 ± 193.24) mL. Intraoperative blood transfusion ranged from 0 to 3,000mL, with an average (1400.50 ± 400.61) mL. Three patients contracted gastrointestinal bleeding after liver implants, which was cured after timely treatment and 5 patients with sacral pressure red tail, improved after treatment. Conclusion Due to the long operation time, bleeding, low temperature, risks of infection and other factors, pre-assessment of the intraoperative risks and relative coping measures are of great significance for the complete of operations.
