Benign tumor on the liver nursing.docVIP

 PAGE \* MERGEFORMAT 8 Benign tumor on the liver nursing [Keywords:] liver benign surgical care Liver benign tumors include hemangioma, hepatic focal nodular hyperplasia and liver adenoma three categories. Hepatic benign tumor of the more common, but usually no clinical manifestations, most cases are checked by ultrasound or other scan occasionally found Also some cases are due to hepatomegaly, right upper abdominal discomfort or abdominal bleeding was found. such patients liver function tests are often normal or only minor changes, although the scanning and angiography can often provide some clues to the preoperative diagnosis, but confirmed often dependent on exploratory laparotomy. (A) of the nursing assessment 1. Health history to understand the patient’s gender, age, diet, asked whether oral contraceptives, history of estrogen, with or without upper abdominal discomfort, bloating, loss of appetite and other symptoms. 2. Clinical manifestations (1) hepatic hemangiomas: with the tumor location, size, growth rate of the degree of liver involvement in real terms vary. Little by asymptomatic, and the larger oppression of gastrointestinal and biliary tract which can cause abdominal pain, jaundice or indigestion symptoms. Minority due to tumor Spontaneous aneurysm rupture or torsion while the performance was acute abdomen. clinically can be divided into 4 types: occult abdominal mass type, internal bleeding and tumor type torsion type, with the most common type of abdominal mass. Abdominal mass in the upper abdomen, smooth, soft and hard texture of different, sexy and has a large capsule variability. Boundary clearly connected with the liver, with the breath move up and down, usually no tenderness. In some cases could be heard in the lesion and vascular murmur, a small number of patients may be associated with microvascular hemolytic anemia. thrombosis caused by consumption of coagulation factors, may show thrombocytopenia or low fibrino