Cirrhosis esophageal variceal bleeding 46 cases of nursing.docVIP

 PAGE \* MERGEFORMAT 12 Cirrhosis esophageal variceal bleeding 46 cases of nursing [Abstract] Objective: To explore how to improve the liver cirrhosis patients with esophageal variceal bleeding the quality of care and reduce mortality and improve the success rate. METHODS: In emergency care, diet care, psychological care and guidance in areas such as science discharge care. Results: The promotion of the disease improved, to prevent further bleeding. Conclusions: The emergency care are key, diet care can not be ignored. [Keywords:] liver cirrhosis, esophageal variceal bleeding, care Cirrhosis of the liver are a common cause by the different causes of chronic, progressive, diffuse liver disease [1]. Esophageal variceal bleeding is the most common complication of liver cirrhosis and an important cause of death, do first aid and care, is to promote the disease better, an important measure to prevent further bleeding, nursing now reported as follows. 1 Clinical data January 2004 to June 2008 were treated in hospital with liver cirrhosis esophageal variceal bleeding 46 patients, 31 males and 15 female, aged 25 to 86 years, mean age 51 years. Course of disease in varying degrees The vomiting blood, blood in the stool and shock symptoms, were diagnosed by gastroscopy or CT .46 patients underwent intravenous infusion of octreotide injection, establish hemostasis, hemostatic Min Fang hemostasis acid, vitamin K1, transfusion or human serum albumin and three balloon catheter to stop bleeding and other treatment, bleeding stopped in 31 cases, 9 cases of transfer surgery, 5 died and 1 lost discharged. 2 Care 2.1 Emergency Care 2.1.1 ECG Multi Measuring BP, P, R, T and report the doctors on duty, shock and oxygen inhalation in patients with a definitely bed rest, warmth, hot water sponge bath is disabled, and in strict accordance with intensive care, bed and toilet. These patients are generally more intense, shock prodromal period in patients with i