Patients with portal hypertension Perioperative Nursing.doc

 PAGE \* MERGEFORMAT 16 Patients with portal hypertension Perioperative Nursing [Keywords:] devascularization of portal hypertension care Splenectomy plus disconnection of pericardial vascular surgery treatment of portal hypertension is a common surgical disease, but postoperative bleeding rate was 4.1% ~ 17.3% [1] .1997 of the surgical hospital has been improved, that is, In the breaking of pericardial vessel and cut off based on the ligation of left gastric artery and gastric coronary vein, due to breaking of roots, so we called breaking of pericardial blood plus root pruning technique .1997 March to clinical application in March 2007 in 42 patients, the clinical application and nursing observation, the effect is satisfactory, nursing now reported as follows. Clinical data 1. General Information The group of 42 patients, 32 males and 10 females, aged 23 to 57 years, mean 43 (2) airway management: postoperative effective cough, sputum and the prevention of atelectasis, is very important to prevent pulmonary complications. As the impact of surgical trauma and pain, breathing exercises reduced the degree should be taken to help patients sit sitting or semi- position to encourage and help patients cough, expectoration, as abdominal breathing exercise. routinely given Mucosolvan, gentamicin inhalation, 2 times a day to dilute sputum, easy-to-cough. conventional oxygen, the necessary time off pressure ventilation, and to improve the anaerobic conditions. Note that the situation lung breath sounds, observation of mobility and frequency of breathing, pay attention to whether the pneumonia. pulmonary infection in this group 2 patients recovered after treatment. (3) various drainage tube care: anastomotic bleeding occurred within 24 h after surgery, and gastric mucosal lesions occurred in about one week after surgery, so decompression should be kept clear, attention and peritoneal drainage tube color of fluid drainage, once found to have bleeding s