28例门静脉高压患者行食管胃底曲张静脉栓塞术的护理

目的探讨应用组织粘合剂正丁基_2-氰丙烯酸盐（NBCA）栓塞治疗门静脉高压症食管胃底静脉曲张患者的护理。方法回顾性分析28例经皮肝穿应用NBCA栓塞治疗门静脉高压症食管胃底静脉曲张患者在介入术中术后的临床资料和护理。结果27例成功栓塞达到止血效果，1例未栓塞成功；并发症有少量肺栓塞4例，其中2例出现一次性咳嗽，20例出现呕吐，轻微腹痛，无穿刺口出血及腹腔出血并发症的发生，全部患者能顺利配合完成手术。结论做好栓塞术前的心理干预，术中病情的密切观察，术后的观察护理，早期预防及处理并发症对手术的顺利进行及减少并发症发生具有一定意义。

Nursing of 28 patients with portal hypertension for embolization of esophageal-gastric fundus varices

Objective To explore the nursing of embolization with tissue adhesive NBCA (n-butyl-2-cyano-acrylate) for patients with esophageal-gastric fundus varices in portal hypertension. Methods The clinical data and nursing of 28 cases with NBCA embolization for esophageal-gastric fundus varices in portal hypertension were retrospectively analyzed during and after the intervention. Results 27 cases were embolized successfully with obtaining hemostatic effects, and the other one case failed. Among the 26 successful cases, there were 4 cases with pulmonary thromboembolism, 2 cases with one-off cough, 20 cases with vomiting and mild abdominal pain, and no case with puncture and intraperitoneal hemorrhage. Conclusions It is important for nurses to give patients pertinent psychological nursing before operation, to closely observe the disease situation during embolization and to careftdly observe and nurse after operation to increase the success rate of operation and reduce the complications.