损伤控制性手术护理在严重肝损伤患者中的应用

摘要

目的 探讨损伤控制性手术在严重肝损伤中的护理要点.方法 对18例严重肝外伤患者行损伤控制性手术,监测生命体征、复温、观察凝血功能异常、代谢性酸中毒、预防腹腔间室综合征,做好再次手术的围术期护理.结果 18例患者均采用损伤控制性手术治疗,其中痊愈16例,死亡2例.结论 及时有效的护理对严重肝外伤患者行损伤控制性手术发挥了良好的作用.%Objective To investigate the nursing essentials of damage control surgery in treating severe liver injury. Methods Eighteen severe liver injury patients were administered damage control surgery. During surgery,vital signs and rewarming were monitored while dysfunction of coagulation and metabolic acidosis were observed. All these measures aimed to prevent occurrence of abdominal compartment syndrome and to prepare perioperative nursing for surgery again. Results Among 18 patients with damage control surgery,16 patients were cured completely and 2 patients died. Conclusion Timely and effective nursing plays an important role in treating severe liver injury patients with damage control surgery.