肝移植术后并发消化道穿孔患者的观察及护理

目的对肝移植术后并发消化道穿孔进行护理总结，以提高护理质量并提高肝移植术后患者生存率。方法回顾性分析6例肝移植术后并发消化道穿孔患者的护理要点。结果经过细致的观察、护理，6例肝移植术后并发消化道穿孔患者均得以早期发现，及时处理，其中3例康复出院，另3例穿孔直径较大，腹腔污染严重，手术过程中出现感染性休克症状，分别于修补术后第2、9、33天死于多器官功能衰竭。结论肝移植术后并发消化道穿孔发生率及死亡率都很高，应密切观察患者的病情变化争取早期诊断，及时恰当处理，以有效提高肝移植并发消化道穿孔的疗效。同时做好心理护理、基础护理、饮食护理等，提高患者的生存率和生活质量。

Observation and nursing of patients with gastrointestinal perforation following liver transplantation

Objective To summarize the nursing points of gastrointestinal perforation following liver transplantation in order to increase the nursing quality and patients survival rate after liver transplantation. Methods A retrospective study was carried out in 6 patients with gastrointestinal perforation following liver transplantation. Results Six cases of gastrointestinal perforation following liver transplantation was diagnosed and treated in time after painstaking observation and nursing.Three patients among them were Cured and discharged and the other three died of multiple organ failure at the 2th,9th and 33th days after perforation repair procedure due to large perforation and serious peritoneal infection and septic shock during the operation. Conclusions Incidence of gastrointestinal perforation and death rate following liver transplantation was high. We should gave early diagnosis and appropriate disposal in order to increase the therapeutic effect of gastrointestinal perforation.At the same time psychological nursing, basic nursing and diet nursing should be executed to improve the survival rate and life quality of patients.