CAJ | 학술논문

目的：探讨胃管负压引流在上消化道出血中的应用效果与护理要点。方法：选取本院2011年3月-2014年1月47例上消化道出血患者配合使用胃管负压引流治疗，对其临床资料进行回顾性分析。结果：47例上消化道出血患者保守治疗治愈41例，1例胃溃疡出血患者拔除胃管后行胃镜检查时再次出血行急诊手术治疗，2例肝硬化胃食管静脉曲张破裂出血患者保守治疗无效行手术治疗，2例转上级医院，1例肝癌并上消化道大出血患者死亡。结论：上消化道出血患者配合使用胃管负压引流治疗、实施精心护理具有缩短止血时间，提高止血效果，减少胃肠反应，利于胃腔给药，随时观察出血量，明确病情等优点。
목적：탐토위관부압인류재상소화도출혈중적응용효과여호리요점。방법：선취본원2011년3월-2014년1월47례상소화도출혈환자배합사용위관부압인류치료，대기림상자료진행회고성분석。결과：47례상소화도출혈환자보수치료치유41례，1례위궤양출혈환자발제위관후행위경검사시재차출혈행급진수술치료，2례간경화위식관정맥곡장파렬출혈환자보수치료무효행수술치료，2례전상급의원，1례간암병상소화도대출혈환자사망。결론：상소화도출혈환자배합사용위관부압인류치료、실시정심호리구유축단지혈시간，제고지혈효과，감소위장반응，리우위강급약，수시관찰출혈량，명학병정등우점。
To investigate the effect and nursing of gastric tube negative pressure drainage in the upper gastrointestinal hemorrhage.Method:47 cases of upper gastrointestinal bleeding treated with gastric tube negative pressure drainage in our hospital from March 2011 to January 2014 were selected,and the clinical data were retrospectively analyzed.Result:41 cases of 47 patients with upper gastrointestinal bleeding were cured by conservative treatment,1 patients with extubation gastroscopy after gastric ulcer hemorrhage bleeding again emergency operation treatment,2 cases of liver cirrhosis with esophageal variceal bleeding patients with conservative treatment was invalid for operation treatment, 2 cases transferred to higher level hospital,1 cases of hepatocellular carcinoma and the digestive tract hemorrhage was death.Conclusion:Upper gastrointestinal bleeding in patients with the use of vacuum tube drainage treatment,the implementation of intensive care has shortened bleeding time and improve hemostasis,reducing gastrointestinal reactions, which will help the stomach cavity administration,always observe the amount of bleeding,clear the disease and so on.