Experience from nursing of splenic artery embolization patients after liver transplantation
10.3969/j.issn.1008-9691.2018.03.028
- VernacularTitle:肝移植术后患者行脾动脉栓塞治疗的护理体会
- Author:
Ying LI
1
;
Lu SUN
;
Junjie LI
Author Information
1. 300192,天津市第一中心医院
- Keywords:
Liver transplantation;
Splenic artery embolization;
Nursing
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2018;25(3):324-325
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nursing care experience of patients with splenic artery embolization after liver transplantation. Methods Eight hypersplenism patients after liver transplantation and treated with splenic artery embolization therapy admitted to Tianjin First Center Hospital from January 2016 to July 2017 were enrolled, their nursing postoperative measures were retrospectively analyzed, and the incidences of complications were observed. Results After treatment and careful nursing, no serious postoperative complications occured in all 8 patients. One postoperative patient appeared dizziness, nausea, vomiting, after metoclopramide dihydrochloride injection 10 mg intramuscular injection for 1 hour, later nausea was ameliorated. There were 3 cases with fever, their temperature in 2 cases did not exceed 38 ℃, and they could tolerate, after drinking extra water, their temperature was lowered to below 37 ℃, one case with persistent fever received intramuscular injection of aminophenazoneco 2 mL, 2 hours later, the temperature dropped to 37.3 ℃, and after 4 hours the body temperature returned to normal. One case returned to the ward for 4 hours when the compressor was released, one week later, blood exudation was seen at the puncture point, by tightening the compressor again, the exudation was stopped and no hematoma occurred. The postoperative pain tolerance was observed in 7 cases; 1 case suffered from severe pain of score 7, fentanyl transdermal patches were used to relieve pain. None of the 8 patients showed thrombosis. After careful treatment and nursing care, all the 8 patients were discharged from hospital upon recovery. Conclusion After the splenic artery embolization treatment was carried out for postoperative patients with liver transplantation, their disease situations should be carefully observed, symptomatic treatment ought to be done and the occurrence of postoperative complications should be prevented to guarantee the patients' safety, that are the key measures to ensure the nursing quality.
