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目的:总结腹腔镜胆囊切除术后并发症的护理经验。方法:回顾性总结我科腹腔镜胆囊切除术后患者,对术后出现并发症的患者进行评估、诊断。结果:本组192例患者,30例患者出现不同程度的并发症,其中15例出现不同程度的恶心、呕吐,腹腔出血1例,全麻术后呼吸道梗阻1例,伤口疼痛8例,胆汁瘘1例,胆总管残余结石1例,腹壁戳孔感染2例,皮下气肿1例,无1例压疮发生。结论:通过对腹腔镜胆囊切除术后并发症患者做到细致周到观察及护理是提高工作效率和护理质量的保证,加快病人康复速度,减轻病人痛苦。
Objective: To summarize the nursing experience of complications after laparoscopic cholecystectomy. Methods: To retrospectively summarize the patients after laparoscopic cholecystectomy in our department, evaluate and diagnose the patients with postoperative complications. Results: 192 patients and 30 patients in this group had different degrees of complications. Among them, 15 patients had varying degrees of nausea, vomiting, abdominal bleeding, 1 case of respiratory tract obstruction after general anesthesia, 8 cases of wound pain, biliary fistula 1 case, residual bile duct stones in 1 case, abdominal puncture hole infection in 2 cases, 1 case of subcutaneous emphysema, no case of pressure ulcer occurred. CONCLUSION: Through meticulous and careful observation and nursing of patients with complications after laparoscopic cholecystectomy is the guarantee of improving work efficiency and nursing quality, speeding up the speed of patient rehabilitation and alleviating patient’s suffering.