肝癌合并门静脉癌栓行半肝切除加取癌栓术的围手术期护理

目的探讨肝癌合并门静脉癌栓行半肝切除加取癌栓术的围手术期护理方法。方法对57例肝癌合并门静脉癌栓患者施行半肝切除加取癌栓术,并做好围手术期护理工作。结果 57例患者均顺利完成手术,术后并发胸腔积液12例(21.1%),顽固性腹水2例(3.5%),围手术期死亡1例(1.8%)。结论对肝癌合并癌栓患者实施半肝切除加取癌栓术,术前做好心理护理、改善营养及肝功能、预防上消化道出血,提高手术耐受力;术后做好病情观察及并发症观察及护理,其是保证手术成功的重要因素。

Perioperative nursing of patients with hepatocellular carcinoma combined with portal vein tumor thrombus after hemi-hepatectomy and removal of portal vein tumor thrombus

Objective To investigate the perioperative nursing after hemi-hepatectomy and removal of portal vein tumor thrombus（PVTT） for hepatocellular carcinoma（HCC） with PVTT.Methods Fifty-seven HCC patients with PVTT underwent hemihepatectomy and removal of PVTT.Careful perioperative nursing was given to each patient.Results All patients successfully lived through surgery.Postoperative complications included 12 cases pleural effusion（21.1%）,2 cases refractory ascites（3.5%） and 1 case perioperative death（1.8%）.Conclusion Preoperative psychological care,improvement of nutrition and liver function,prevention of upper gastrointestinal bleeding and postoperative observation plus nursing care are of great importance to ensure the success of the surgery.