Cirrhosis of the liver complicated with upper gastrointestinal hemorrhage 1 cases of nursing.docVIP

 PAGE \* MERGEFORMAT 8 Cirrhosis of the liver complicated with upper gastrointestinal hemorrhage 1 cases of nursing Upper gastrointestinal bleeding is the most serious complication of cirrhosis of the liver, its large amount of bleeding, a high fatality rate, controlling bleeding is the key to the success of rescue. I admitted in March 2005 Section 1 cases of liver cirrhosis complicated by upper gastrointestinal bleeding in patients with satisfactory effect, will now be reported as follows Nursing. A medical summary of Patients, male, 75 years old, more than 20 years ago, there was no significant incentive to abdominal distension, anorexia, fatigue, after diagnosis as ‘Hepatitis B’, followed by B-examination revealed cirrhosis of the liver after treatment, relief of symptoms. 18 years ago, rows of upper gastrointestinal bleeding in surgical splenectomy, postoperative albumin has been low, three years ago, ascites. March 18, 2005 due to patients ‘abdominal distension, fatigue, low albumin’ income was hospitalized for Reka, Shenqi other Hugan treatment, 1 week bleeding after stool, OB (), immediate fasting, Hemo Cyprus, octreotide intravenous infusion needle to stop bleeding, oral thrombin 2000u per 4h1 times, albumin, plasma support treatment, three days after the fecal occult blood test became negative. 2 Care 2.1 Psychological Care The patient 18 years ago because of upper gastrointestinal bleeding in our hospital emergency treatment, again melena, which greatly stimulate the patient, resulting in fear. To this end, our timely patient comfort, eliminating fear, tension psychological, emotional stability and patients to help them build the confidence to overcome the disease. Also, because patients have good family support system to enable them to take the initiative to treatment. 2.2 First aid measures (1) the rapid establishment of intravenous access, prepare a variety of emergency drugs and equipment. Close observation of ECG monitoring in patients wi