医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2015年
5期
95-96,97
,共3页
分期护理%肝硬化%上消化道出血
分期護理%肝硬化%上消化道齣血
분기호리%간경화%상소화도출혈
Nursing%Liver cirrhosis%Upper gastrointestinal hemorrhage
目的：探讨分期护理在肝硬化合并上消化道出血患者中的应用价值。方法：本研究于2014年1月～2014年12月对收治的肝硬化合并上消化道出血患者给予补充血容量、护肝、止血、支持治疗的基础上进行运用奥曲肽联合奥美拉唑治疗和分期护理。结果：本文患者出血量大，速度迅猛，出血量785～7150ml，平均出血量（3125．54±1025．36）ml；72例患者中出现呕血、便血患者66例，单纯便血6例。全组病人病情危重，抢救治疗难度极大，但是大多数均获得成功救治。共抢救成功48例，占94．44％（68／72），无窒息、误吸发生；病死4例，占5．56％（4／72），死亡原因多为严重并发症，2例患者死于合并多脏器功能衰竭，2例患者因抢救不及时在入院治疗时死去。结论：密切观察患者病情变化，按照分期进行了护理干预，严格遵守输血规程，及时给予抢救和护理，分期护理干预可提高肝硬化合并上消化道出血患者的治愈率。
目的：探討分期護理在肝硬化閤併上消化道齣血患者中的應用價值。方法：本研究于2014年1月～2014年12月對收治的肝硬化閤併上消化道齣血患者給予補充血容量、護肝、止血、支持治療的基礎上進行運用奧麯肽聯閤奧美拉唑治療和分期護理。結果：本文患者齣血量大，速度迅猛，齣血量785～7150ml，平均齣血量（3125．54±1025．36）ml；72例患者中齣現嘔血、便血患者66例，單純便血6例。全組病人病情危重，搶救治療難度極大，但是大多數均穫得成功救治。共搶救成功48例，佔94．44％（68／72），無窒息、誤吸髮生；病死4例，佔5．56％（4／72），死亡原因多為嚴重併髮癥，2例患者死于閤併多髒器功能衰竭，2例患者因搶救不及時在入院治療時死去。結論：密切觀察患者病情變化，按照分期進行瞭護理榦預，嚴格遵守輸血規程，及時給予搶救和護理，分期護理榦預可提高肝硬化閤併上消化道齣血患者的治愈率。
목적：탐토분기호리재간경화합병상소화도출혈환자중적응용개치。방법：본연구우2014년1월～2014년12월대수치적간경화합병상소화도출혈환자급여보충혈용량、호간、지혈、지지치료적기출상진행운용오곡태연합오미랍서치료화분기호리。결과：본문환자출혈량대，속도신맹，출혈량785～7150ml，평균출혈량（3125．54±1025．36）ml；72례환자중출현구혈、편혈환자66례，단순편혈6례。전조병인병정위중，창구치료난도겁대，단시대다수균획득성공구치。공창구성공48례，점94．44％（68／72），무질식、오흡발생；병사4례，점5．56％（4／72），사망원인다위엄중병발증，2례환자사우합병다장기공능쇠갈，2례환자인창구불급시재입원치료시사거。결론：밀절관찰환자병정변화，안조분기진행료호리간예，엄격준수수혈규정，급시급여창구화호리，분기호리간예가제고간경화합병상소화도출혈환자적치유솔。
Objective:To investigate the application value of staging nursing in cirrhosis with upper digestive tract hemorrhage patients.Methods:From January 2014 year to December 2014 year the liver cirrhosis complicated with upper gastrointestinal hemorrhage patients were admit ed with supplement the blood volume,protecting liver,hemostasis and support treatment on the basis of the use of octreotide combined with omeprazole in treatment and nursing.Results:the patients with haemorrhage amount was large,the speed was rapid,and the amount of bleeding was 785 ~7150ml,average bleeding volume (3125.54 ±1025.36)ml.66 cases of patients with hematemesis,hematochezia in 72 patients,only 6 cases of hematochezia.Al the patients in critical condition,treatment is dif icult,but most were successful treatment.A total of 48 cases of successful treatment,accounted for 94.44% (68 /72),without asphyxia,aspiration;4 cases died,accounting for 5.56% (4 /72),died of serious complications,2 patients died of multiple organ failure,2 patients died in hospital due to the rescue is not timely treatment.Conclusion:Closely observe the patients’condition changes,according to the staging of the nursing intervention,strictly abide by the rules of blood transfusion,timely treatment and care,nursing interven-tion can improve the cure rate of patients with cirrhosis with upper digestive tract hemorrhage.
