doi:10.3761/j.issn.0254-1769.2020.08.025

Abstract

Key words: Splenic Arteriovenous Fistula, Liver Cirrhosis, Ascites, Hematoma, Nursing Care

摘要：

总结1例脾动静脉瘘致肝硬化血性腹水合并全身多发血肿患者的护理经验。护理要点包括:脾动静脉瘘导致血性腹水和消化道出血的病情观察过程中,大出血的识别和早期干预;抗静脉血栓栓塞治疗过程中出血倾向观察和多发性血肿的识别及干预。经实施上述综合护理措施,患者住院33 d后病情好转出院。

关键词: 脾动静脉瘘, 肝硬化, 腹水, 血肿, 护理

吴巧玉, 朱陈萍. 1例脾动静脉瘘致肝硬化血性腹水合并全身多发血肿患者的护理[J]. 中华护理杂志, 2020, 55(8): 1247-1249.

References 9

[1]	刘莹莹, 杜鹏, 包文霞, 等. 脾切除术后脾动静脉瘘的诊断与治疗[J]. 中华消化外科杂志, 2014,13(12):988-990.
[2]	Strauss E, Valla D. Non-cirrhotic portal hypertension:concept,diagnosis and clinical management[J]. Clin Res Hepatol Gastroenterol, 2014,38(5):564-569. DOI URL PMID
[3]	中华医学会呼吸病学分会肺栓塞与肺血管病学组, 中国医师协会呼吸医师分会肺栓塞与肺血管病工作委员会, 全国肺栓塞与肺血管病防治协作组. 肺血栓栓塞症诊治与预防指南[J]. 中华医学杂志, 2018,98(14):1060-1087.
[4]	Chan YC, Morales JP, Reidy JF, et al. Management of spontaneous and iatrogenic retroperitoneal haemorrhage:conservative management,endovascular intervention or open surgery?[J]. Int J Clin Pract, 2008,62(10):1604-1613. DOI URL PMID
[5]	尹萌辰, 马俊明, 陈妮, 等. 华法林致巨大腰大肌血肿合并股神经损伤1例报道[J]. 中国中医骨伤科杂志, 2017,25(10):60-62,64.
[6]	Saddekni S, Anis KH, Hegazi AA, et al. Traumatic complex splenic arteriovenous fistula causing prehepatic portal hypertension and variceal bleeding:the importance of the diagnosis for the endovascular treatment approach[J]. Vasc Endovascular Surg, 2014,48(2):180-185. DOI URL PMID
[7]	王欣然, 张芝颖, 张宇. 重症胰腺炎并发胰周假性动脉瘤出血患者的识别与急救护理[J]. 中华护理杂志, 2018,53(6):703-706.
[8]	田媛, 敖国昆, 李红, 等. 髂腰肌病变的影像特点及临床特征[J]. 医学影像学杂志, 2012,22(4):635-638.
[9]	郭秀全, 李汝秀. 自发性巨大臀部血肿误诊1例分析[J]. 中国误诊学杂志, 2010,10(21):5123.

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1例脾动静脉瘘致肝硬化血性腹水合并全身多发血肿患者的护理

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