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我科于2008年6月至2014年6月对30例脾功能亢进患者行部分脾动脉栓塞术,栓塞面积为25%~70%,术后出现了不同程度的并发症,主要为发热,腹痛,恶心呕吐,肠麻痹等,共发生并发症8例,脾脓肿,原发性腹膜炎,对反复性胸膜炎,肝昏迷和肝肾综合征。作者统计了各种并发症的发生率和持续时间,对主要并发症的发生时间,处理方法和护理要点分类进行了讨论,提出了不盲目扩大适应证的基础上,细致的临床护理,严密的病情观察和及时的处理措施可以减少其并发症的发生。
In our department from June 2008 to June 2014 30 cases of hypersplenism patients underwent partial splenic artery embolization, embolization area of 25% to 70%, postoperative complications of varying degrees, mainly fever, abdominal pain , Nausea and vomiting, intestinal paralysis, a total of 8 cases of complications, splenic abscess, primary peritonitis, recurrent pleurisy, hepatic coma and hepatorenal syndrome. The author statistics of the incidence and duration of various complications, the main complication of the time of occurrence, treatment and classification of nursing points are discussed, not blindly expand the indications based on meticulous clinical care, strict Disease observation and timely treatment can reduce the incidence of complications.