78 patients with post-traumatic splenectomy Perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 8 78 patients with post-traumatic splenectomy Perioperative nursing [Abstract] Objective To investigate the condition of post-traumatic splenectomy observation and nursing care. Methods 78 cases of traumatic rupture of spleen splenectomy were retrospectively analyzed the clinical data, including preoperative care and complications of preoperative care, postoperative major Early complications and nursing observations were summarized. Results There was no operative mortality, all patients were not discharged because of delayed care and complications. Conclusion proper care measures on post-traumatic splenectomy care is very important. [Keywords:] trauma; splenectomy; Perioperative nursing Splenic blood supply is rich in texture, brittle, post-traumatic bleed easily. Splenic injury accounted for the incidence of abdominal injuries in the first place. Splenic rupture in the main danger is that clinical intra-abdominal bleeding, to take timely and effective emergency care measures are important . our hospital from January 2001 to January 2007 were treated splenectomy for traumatic rupture of 78 patients achieved satisfactory results. now nursing are summarized below. 1 Clinical data 78 patients in this group 56 patients were male and 22 females, aged 18 to 71 years (39.6 + -8.4 years). The causes of injury: road accident in 47 cases, 13 cases of direct violence, fall injury in 9 cases, 4 cases stabbed , bar wounded in 3 cases, 2 cases of crush injury. beneath bloody shock 58 cases 74.4%, a combined 34 patients injured 43.6%, and 1 intraoperative death due to excessive blood loss; 2 cases of multiple injuries death, the rest were cured. 2 Care 2.1 Preoperative Care 2.1.1 injured asked in detail about the history of emergency treatment, a comprehensive physical examination, laboratory examinations fast and uninterrupted B-judge assisted the development of injury, and abdominal paracentesis with or without blood, as soon a