Cholecystitis nursing care on.docVIP

 PAGE \* MERGEFORMAT 9 Cholecystitis nursing care on [Keywords:] Cholecystitis Nursing Cholecystitis is a common disease of biliary system, means the occurrence of bacteria in gallbladder and (or) chemical inflammation. Occur in women, particularly in the obese were more common, according to the priority of onset and course of acute cholecystitis and the length is divided into chronic cholecystitis. about 95% of patients with acute cholecystitis and gallbladder stones, called acute cholecystitis, without gallbladder stones, known as acute acalculous cholecystitis. 1 Clinical data 1.1 General information: The group of 32 patients, male 12, female 20 cases. Age 59 to 78 years old. A history of up to 16 years and the shortest 8 hours. With cholecystectomy in 22 cases, with partial resection of gallbladder or cholecystostomy in 10 cases, Results: 32 patients treated in our hospital and the careful management protection under all conditions discharged. 1.2 Clinical symptoms: ① abdominal pain: the majority of patients have history of upper abdominal pain, severe right upper quadrant colic, often in the meal, eating greasy food after a meal or after work hours, the pain may radiate to the right shoulder and right subscapularis. Sustained increase concurrency. ② nausea, vomiting: 85% to 90% combined with nausea, but vomiting is generally not common. 1.3 The method in this group 25 patients undergoing elective surgery, emergency surgery in 7 cases. Cholecystectomy in 23 cases, subtotal cholecystectomy in 7 cases, 1 case of gallbladder fistula, common bile duct anastomosis in 1 case. 2 Results The group of 32 patients were cured and no deaths. Postoperative wound infection in 4 cases, 3 cases of pulmonary infection, wound dehiscence in 3 cases. 3 Care 3.1 General care to reduce patient anxiety, identify anxiety reasons, nurses take the initiative, enthusiasm introduced ward environment, competent doctors and nurses