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目的:总结高原地区全离体自体肝移植治疗肝泡型包虫病的围手术期护理措施。方法:分析青海大学附属医院肝胆胰外科2015年9月—2016年3月实施的全离体自体肝移植的5例肝泡型包虫病患者的临床资料,分析围手术期的护理措施,总结经验,制定出规范。结果:5例肝泡型包虫病患者均成功接受了全离体自体肝移植术。5例患者均顺利出院,未发生术后并发症,术后随访(2~6)个月,5例患者肝功能各项指标正常,肝内外均未见新生病灶。结论:全离体自体肝移植术围手术期的护理工作极为重要。严密监测各项生命体征,观察各引流管的量、颜色及性状,及早发现和处置潜在的术后并发症是全离体自体肝移植围手术期护理的关键。
Objective: To summarize the perioperative nursing measures for the treatment of hepatic echinococcosis with autologous liver transplantation in allogenic regions. Methods: The clinical data of 5 patients with hepatic echinococcosis who underwent total autologous liver transplantation from September 2015 to March 2016 in Hepatobiliary and Pancreatic Surgery Hospital Affiliated to Qinghai University were analyzed, and the nursing measures during perioperative period were analyzed. Experience, develop a standard. Results: All patients with hepatic echinococcosis were successfully treated with allogeneic autologous liver transplantation. All 5 patients were discharged smoothly without postoperative complications. All the patients were followed up (2-6) months. All the indexes of liver function were normal in 5 patients, and no neoplasm was found in both liver and liver. CONCLUSION: Perioperative nursing of allogeneic liver transplantation is extremely important. Closely monitoring the vital signs and observing the amount, color and traits of the drainage tubes, early detection and treatment of potential postoperative complications is the key to perioperative nursing of allogeneic liver autotransplantation.