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目的探讨腹水超滤浓缩回输术治疗肝硬化顽固性腹水的围术期护理,预防并发症的发生,最大限度地提高疗效。方法选择符合标准的70例肝硬化顽固性腹水患者,应用腹水超滤浓缩腹腔回输术进行治疗。围术期进行心理护理,健康教育,严格无菌操作,保持管路通畅,密切观察病情变化,积极预防并发症等综合护理措施。结果 70例患者均顺利完成治疗,治疗前后体重、腹围、尿量、血清总蛋白和白蛋白等生理指标的变化有统计学意义,患者自觉症状明显减轻,无护理并发症发生。结论腹水超滤浓缩回输术治疗肝硬化顽固性腹水安全、有效,加强围手术期的护理,是保证该项治疗顺利进行并获得良好疗效的必要条件。
Objective To investigate the perioperative nursing of ascites ultrafiltration concentration and transfusion in the treatment of refractory ascites of liver cirrhosis and prevent the occurrence of complications and maximize the curative effect. Methods A total of 70 patients with cirrhosis and refractory ascites were enrolled in this study. The patients were treated with ultrafiltration of ascites and abdominal cavity. Perioperative psychological care, health education, strict aseptic operation, to keep the pipeline open, close observation of changes in conditions, and actively prevent complications such as comprehensive care measures. Results All the 70 patients were successfully treated. The changes of body weight, abdominal circumference, urine volume, serum total protein and albumin before and after treatment were statistically significant. Patients’ symptoms were significantly reduced and no nursing complications occurred. Conclusion Ascites ultrafiltration concentration of transfusion for the treatment of refractory liver cirrhosis ascites safe and effective, to enhance perioperative care is to ensure the smooth progress of the treatment and obtain the necessary conditions for good effect.