双介入法治疗肝硬化门脉高压症的护理

目的探讨经皮肝穿食道胃底曲张静脉栓塞和部分脾动脉栓塞治疗肝硬化门脉高压症的护理。材料与方法本组12例，平均年龄51.7岁，均为肝硬化门脉高压症惠者，同时行部分性脾动脉栓塞和经皮肝穿胃冠状静脉栓塞治疗。结果12例患者均手术成功，术中门静脉压力平均降低3.76mmHg，随访2～6个月无1例再出血，脾亢症状明显改善。食道钡餐见2例曲张静脉消失，7例病人由Ⅲ度静脉曲张变成Ⅱ度曲张，3例无变化。结论术前心理护理，术中止痛、止血、止吐、镇静，密切观察病情变化，术后输液抗炎，注意并发症的发生等是手术成功的重要环节。

Nursing of Double Interventional Therapy of Portal Hypertension with Liver Cirrhosis

Objective:To evaluate the nursing of portal hypertension patients with hepatic cirrhosis,who were treated by percutaneous transhepatic variceal cmbolization (PTVE) and partial splenic embolization (PSE). Methods: 12 portal hypertension patients with post- hepatitis cirrhosis underwent PTVE and PSE. Their averge age is 51.7 years old.Result :The operation of all patients were successful. The free pressure of portal vein decreased 3.75 mmHg averagely after operation. The patients were followed up for 2～6 monthes. There wasno recurrence of esophageal variceal bleeding. The symptoms of hypersplenism were relived. Conclusion:We considered some segments could help the operation successful:the psychological nursing before operation, the relieving pain, stopping hemorrhage, relieving vomit, sedation and carefully observing patients in the operation,systemic antibiotic dropping, noticing complication appearing and so on after operation