晚期肝硬化患者输液渗漏的原因分析及对策

目的探讨更适合晚期肝硬化患者输液渗漏的应对措施。方法对96例晚期肝硬化患者输液渗漏进行有目的的护理观察、评估、处理、评价。结果66例水肿在24h内完全恢复，17例在48h内水肿消散吸收；9例在72h内消散吸收；3例局部出现水泡，经抗菌对症处理后治愈，无疤痕形成；仅1例局部发生坏死，渗漏2d后患者死亡，死亡前恢复不明显。结论早期发现、及时处理、积极预防能有效减少晚期肝硬化患者输液渗漏及并发症的发生。

Cause analysis on transfusion leakage in patients with advanced hepatic cirrhosis and strategy

Objective Drug leakage is a common adverse effect of intravenous transfusion in patient with advanced liver cirrhosis. The aim of the investigation is to find a suitable therapeutic strategy. Methods The 96 leakage events in patients with advanced liver cirrhosis were analyzed by nursing procedure （observing, assessment, treatment and outcome evaluation）. Results As edema in puncture site was concerned, 66 cases were cured during 24 h,17 cases during 48 h and 9 eases during 72 h. 3 cases displayed blistering, and were cured without scarring after antibiotics application. Only 1 case with local necrosis had been found and died in 2 days, and no improvement had been detected ante rnortem. Conclusion Early detection, promptly treatment and active prevention are suitable therapeutic strategy for intravenous transfusion leakage and its complications in advanced liver cirrhosis patients.