摘要
目的探究对肝脓肿患者进行CT 引导下经皮穿刺置管引流治疗时的护理配 合,并在临床工作中进行推广使用。方法 选取在我院进行治疗的肝脓肿患者40例, 对患者进行CT引导下经皮穿刺置管引流治 疗,并配合相关的护理干预,观察患者的 治疗效果。结果 40例患者均在CT引导下 成功穿刺,并置入引流管,体温逐渐恢复 正常,其它全身症状逐渐缓解,患者2周 后拔除引流管,未出现置管相关并发症。 患者经敏感抗生素治疗14天左右,均治 愈,康复出院。结论 对于肝脓肿的患者 来说,在应用CT引导下经皮穿刺置管引流 治疗的基础上,辅以密切的护理配合,能 够提高患者治疗依从性,减少相关并发症 产生,具有重要的临床应用价值。
Objective To explore the nursing cooperation related to CT guided percutaneous puncture drainage in the treatment of liver abscess, and it should be widely used in clinical work. Methods Selected 40 cases of patients with liver abscess. The patients received the treatment of CT guided percutaneous puncture drainage combined with relevant nursing methods, and we recorded the efficiency and adverse reaction rate, then we observed the therapeutic effect of patients. Results 40 patients were successfully punctured, and the drainage tube was placed. The temperature of patients gradually returned to normal level. The patients were removed drainage tube after two weeks and did not appear other complications. The patients were treated with sensitive antibiotics for 14 days and were cured. Conclusion For patients with liver abscess, percutaneous puncture drainage combined with relevant nursing methods can reduce complications, which has important value in clinical application.
【关键词】肝脓肿;CT;经皮穿刺;护理配合
【中图分类号】R657.3+3
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2015.11.016
前言
肝脓肿是临床一种常见的肝脏化脓性病变,主要由胆源性感染、 血源性感染以及外伤性感染等原因引起[1]。本病起病急骤,发展迅 速,肝细胞坏死,有脓腔形成并有脓液渗出,如不能及时控制病情, 则可能出现众多并发症,严重时可能危及患者生命[2]。近年来,随着 医疗技术的发展,CT等影像学手段广泛应用于肝脓肿的诊断和治疗, 能够早期发现病灶并在CT引导下进行穿刺抽液治疗,取得了比较明显 的治疗效果[3]。在对肝脓肿患者进行CT引导下穿刺治疗时,护理配合 也是必不可少的,本组对CT引导下穿刺治疗肝脓肿的相关护理方法进 行了探究,现报告如下。
中国CT和MRI杂志
第13卷, 第 11 期
2015年11月
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