Partial splenic embolization adverse clinical observation and nursing.docVIP

 PAGE \* MERGEFORMAT 7 Partial splenic embolization adverse clinical observation and nursing [Keywords:] adverse reactions Application of transcatheter embolization of splenic artery branches and peripheral blood vessels, the splenic substance ischemic infarction, followed by machines of and atrophy, can play a weakened spleen damage to excessive blood cells, to eliminate hypersplenism role, and a marked decrease in portal vein blood volume, to decrease portal pressure, prevention of cirrhosis of the role of upper gastrointestinal bleeding [1]. but partly splenic artery embolization, causing hemorrhagic infarction and necrosis substances are absorbed by the body, is bound to cause a variety of adverse reactions, affect the treatment effect. In order to to reduce adverse reactions, our hospital since 1998 for partial splenic embolization in patients with adverse reactions were observed after surgery and nursing, and achieved good results, are as follows. An observation object 13 cases of partial splenic embolization patients were hospital inpatients, diagnosed as “cirrhotic hypersplenism syndrome”, in which 6 males and 7 females, aged 35 to 50 years with a mean age of 47.3 years. According to Child classification , liver function is A-4 cases, B 7 cases, C grade in 2 cases, moderate enlargement of the spleen in 7 cases, 6 cases of severe swelling, 13 patients had esophageal varices, ascites in 9 cases, 3 cases upper gastrointestinal bleeding had occurred. 2 Clinical Partial splenic embolization began to observe the vital signs of patients, the puncture site with or without bleeding, complications, and to do a good job records. All have occurred after the patient fever and abdominal pain, fever duration of 11.4 + -4.9 days , abdominal pain, duration of 8.7 + -6.6 days, in addition, 3 cases of pneumonia, 2 cases with portal vein thrombosis, 1 case complicated by bloody pleural effusion. All patients had no further bleeding puncture site, and