Abdominal trauma on perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 11 Abdominal trauma on perioperative nursing [Abstract] abdominal body volume about 1 / 3 or more, plus anatomy and physiology of abdominal location and characteristics, whether in wartime or peacetime, are vulnerable to injuries. Abdominal injury mortality rate of 10% -20%, mainly due to the death of abdominal organ injuries in real terms or great vessel injury and bleeding caused by rupture of hollow organs of the abdominal cavity caused by severe infections. Some patients may also be left to cure different levels of sequelae. Facts have proved that early correct diagnosis and proper treatment and care measures to save the patient’s life, the key to reducing complications and sequelae. Keywords:] perioperative nursing abdominal trauma (A) of the preoperative care 1. Emergency complications of abdominal injury in patients with multiple injuries can be, in the first aid to distinguish between primary and secondary and priorities. First, the importance of dealing with life-threatening situations, such as cardiopulmonary arrest, choking, bleeding, tension pneumothorax, etc., on the shock has occurred shall promptly and a patent venous access, infusion time, if necessary, blood transfusions, the open abdominal injury, should be properly packed and then not to the scene also satisfied, to prevent contamination of the abdominal cavity. if a large number of bowel prolapse should also include first of its abdomen, temporary dressing, wound contraction due to compression in order to avoid intestinal ischemia or mesenteric traction caused or aggravated by the shock. 2. Illness care during the observation period and preoperative care in patients with acute peritonitis in principle to perform the preoperative nursing care, but should note the following: (1) close observation: ① attention to changes in vital signs, each measuring 15-30 minutes breathing, pulse and blood pressure, the 1st, ② dynamic testing red blood cell coun