肝臟切片檢查後,護理師應將病人置於何種臥位?
The nurse is monitoring a client after a liver biopsy. Which position should the client be placed in?
- ALeft side-lying左側臥
- BHigh Fowler's高半坐臥位
- CRight side-lying✓ 正解右側臥
- DProne俯臥
肝臟切片(liver biopsy)是一種侵入性檢查,可能導致肝臟穿刺部位出血或膽汁滲漏的風險。因此,檢查後的臥位選擇對於預防併發症至關重要。肝臟位於腹部的右上方,進行切片檢查時通常會從右側肋骨間隙進針。為了有效壓迫穿刺部位,促進止血並減少出血或膽汁滲漏的可能性,護理師應將病人安置於右側臥位(right side-lying position),並在穿刺部位下方墊上沙袋或給予局部加壓,持續數小時。此措施能確保肝臟表面傷口緊密貼合,降低內部出血的風險,是肝臟切片後護理的關鍵安全措施,優先考量病人安全。
After a liver biopsy, the client should be placed in a right side-lying position to apply direct pressure from the body’s weight onto the biopsy site, which helps prevent bleeding and bile leakage. Since the liver is located in the right upper quadrant, this position promotes hemostasis at the puncture wound. Positions such as left side-lying or high Fowler’s do not provide the necessary compression to the specific area.
肝臟切片後護理體位的選擇,台灣與美國的臨床實務皆遵循相同的生理學原理與安全指引。兩地護理專業人員都會將病人安置於右側臥位,並對穿刺部位進行壓迫,以預防出血。此為全球通用的標準護理措施,確保病人安全與術後恢復。