护理实践与研究
護理實踐與研究
호리실천여연구
Nursing Practice and Research
2015年
9期
43-44
,共2页
重症急性胰腺炎%腹内高压%腹腔间隙综合征%动态监测%护理
重癥急性胰腺炎%腹內高壓%腹腔間隙綜閤徵%動態鑑測%護理
중증급성이선염%복내고압%복강간극종합정%동태감측%호리
Severe acute pancreatitis%Intra-abdominal hypertension%Abdominal compartment syndrome%Dynamic monitoring%Nursing
目的:探讨重症急性胰腺炎腹内高压及腹腔间隙综合征患者腹内压动态监测意义和护理方法. 方法:选择我院急诊外科2012 年7月~2014年7月收治的重症急性胰腺炎患者39例,给予常规护理和支持治疗,包括禁食水、胃肠减压、芒硝外敷、抑制胰腺分泌药物使用;使用AbViser AutoValve腹内压监测设备,动态测定膀胱压代替腹内压,发现腹内高压及时采取减压措施和护理干预. 结果:39例重症急性胰腺炎患者痊愈31例,好转2例,转院重症监护室1例,自动出院1例,死亡4例. 平均住院天数(23.25 ±4.18)d. 结论:动态监测重症急性胰腺炎患者的腹内压,可及时发现腹内高压,预防腹腔间隙综合征发生,为腹腔间隙综合征患者的诊治提供客观依据,缩短住院时间,降低病死率.
目的:探討重癥急性胰腺炎腹內高壓及腹腔間隙綜閤徵患者腹內壓動態鑑測意義和護理方法. 方法:選擇我院急診外科2012 年7月~2014年7月收治的重癥急性胰腺炎患者39例,給予常規護理和支持治療,包括禁食水、胃腸減壓、芒硝外敷、抑製胰腺分泌藥物使用;使用AbViser AutoValve腹內壓鑑測設備,動態測定膀胱壓代替腹內壓,髮現腹內高壓及時採取減壓措施和護理榦預. 結果:39例重癥急性胰腺炎患者痊愈31例,好轉2例,轉院重癥鑑護室1例,自動齣院1例,死亡4例. 平均住院天數(23.25 ±4.18)d. 結論:動態鑑測重癥急性胰腺炎患者的腹內壓,可及時髮現腹內高壓,預防腹腔間隙綜閤徵髮生,為腹腔間隙綜閤徵患者的診治提供客觀依據,縮短住院時間,降低病死率.
목적:탐토중증급성이선염복내고압급복강간극종합정환자복내압동태감측의의화호리방법. 방법:선택아원급진외과2012 년7월~2014년7월수치적중증급성이선염환자39례,급여상규호리화지지치료,포괄금식수、위장감압、망초외부、억제이선분비약물사용;사용AbViser AutoValve복내압감측설비,동태측정방광압대체복내압,발현복내고압급시채취감압조시화호리간예. 결과:39례중증급성이선염환자전유31례,호전2례,전원중증감호실1례,자동출원1례,사망4례. 평균주원천수(23.25 ±4.18)d. 결론:동태감측중증급성이선염환자적복내압,가급시발현복내고압,예방복강간극종합정발생,위복강간극종합정환자적진치제공객관의거,축단주원시간,강저병사솔.
Objective:To explore dynamic monitoring significance and care abdominal compartment for severe acute pancreatitis in patients with intra-ab-dominal hypertension and syndrome abdominal pressure . Methods:The randomly selected 39 patients in our hospital emergency surgical with severe acute pancreatitis from July 2012-July 2014,and they received routine care and support treatment, including water fasting, stomach intestinal decompression,mi-rabilite,inhibit pancreatic secretion drug use. Based on the use of Abred intra-abdominal pressure monitoring equipment,dynamic measurement of bladder pressure instead of the intra-abdominal pressure. Found that abdominal high pressure to take timely measures and nursing intervention decompression. Re-sults:Among 39 patients,31 patients were cured,2 patients improvement,into ICU 4 patients,automatic discharge 1 patient,and 4 patients death. The aver-ageinhospitaltimewas(23.25±4.18)d.Conclusion:Dynamicmonitoringintra-abdominalpressureforserereacutepancreatitispatientscouldprevent abdominal compartment syndrome,reduce inhospital time and death rate.
