肝癌自发破裂大出血行超声刀切除术1例护理配合.docVIP

肝癌自发破裂大出血行超声刀切除术1例护理配合 　　[摘要] 目的 探讨1例肝癌自发破裂大出血12 500mL（含腹水、术前肝癌出血、术中出血）行超声刀切除术的护理配合。 方法 （1）配备足够的护理人员：接到手术通知单后由3组护理人员同时分工（心理护理、术前准备、手术室准备）进行。（2）手术相关配合：术前准备的同时积极做好患者心理护理，让其情绪稳定；简单、快捷的术前准备；手术仪器、器械及物品准备齐全；快速建立多处静脉通道；术中根据手术进程，及时调整，熟练配合；正确使用和调节超声刀；严格遵循无瘤原则。 结果 经2小时55分钟的手术抢救，患者脱离生命危险。 结论 针对肝癌自发性破裂大出血发病急骤、来势凶猛的特点，手术配合最好由多组护理人员同时分工进行，手术过程中用物准备齐全、娴熟的操作、沉着冷静的应对是抢救成功的保障。 　　[关键词] 肝癌；自发破裂；超声刀切除 　　[中图分类号] R735.7 [文献标识码] C [文章编号] 2095-0616（2014）16-138-03 　　Nursing cooperation for 1 case of spontaneous rupture and hemorrhoea of liver cancer receiving ultrasonic resection 　　WU Furong1 LI Chunqin2 FENG Xiaorong3 　　Operation Room， Zigong Third Peoples Hospital， Zigong 643020， China 　　[Abstract] Objective To explore the nursing cooperation for 1 case of spontaneous rupture of liver cancer and hemorrhoea of 12 500 mL（including ascites， preoperative bleeding of liver cancer， and bleeding during operation） receiving ultrasonic resection. Methods （1） Sufficient nursing staff were equipped： three groups of nursing staff began to work according to labor division （mental nursing， preoperative preparation， and preparation for the operation room） simultaneously when being informed of the operation. （2）Operation related cooperation： Besides preoperative preparation， patients mental nursing was carried out positively to calm patients emotion； simple and quick preoperative preparation； complete preparation for surgical instruments， devices and items； rapid establishment of multiple intravenous lines； timely arrangement and skilled cooperation during operation based on the operative procedure； correct use and adjustment of ultrasonic knife； strict abidance by the tumor-free principle. Results The patient was announced out of danger after 2 hours and 55 minutes of operation. Conclusion In terms of the characteristics of rapid and aggressive progress of spontaneous rupture and hemorrhoea of liver cancer， operation cooperation should be carried out simultaneously by different groups of nursing staff w