Acute stress ulcer bleeding of clinical observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 5 Acute stress ulcer bleeding of clinical observation and nursing care Stress ulcer is under stress in the body in the mucosa of the stomach to the emergence of a superficial gastric erosions or ulcers characterized by acute gastric mucosal lesion, and can cause acute upper gastrointestinal bleeding, the pediatric critical illness First, multiple organ dysfunction syndrome is the main cause. on how to effectively control the disease and care, is an important issue for clinical practitioners. now 36 cases of undergraduate stress ulcer bleeding in children with clinical observation and nursing care experience reported below. 1 Clinical data 1.1 General Information This group of patients as our department in January 2008 ~ January 2010 36 patients admitted to the stress ulcer bleeding in children, 19 males and 17 females, aged 1 month to 1 year in 16 cases, 1 to 3 10 patients aged 4 to 7 years 7 cases, 8 to 10 years in 3 cases. primary disease, 21 cases of severe pneumonia, a variety of encephalitis in 8 cases, 4 cases of acute poisoning, 2 cases of poisoning, dysentery, and other causes in 1. All children were vomiting blood, tarry stools 10 cases, 3 cases of dark red loose stools. 1.2 Treatment Aggressive treatment of primary disease , control the bleeding, the choice of cimetidine, omeprazole and other drugs, stomach topical: You can inject saline plus norepinephrine, thrombin, Smecta and other drugs, strict fasting, water, if necessary, line parenteral nutrition, timely use of antacids to reduce gastric acid concentration. 2 Nursing 2.1 Children with ground observation, making various records, for doctors to implement Providing accurate and timely measures to rescue the dynamic information. 24h of children with severe to implement monitoring, monitoring of vital signs and oxygen saturation. Observed changes in consciousness. 2.2 fasting, water, good food and beverage management, at least i