Cirrhosis with spontaneous bacterial peritonitis and nursing observation.docVIP

 PAGE \* MERGEFORMAT 8 Cirrhosis with spontaneous bacterial peritonitis and nursing observation [Keywords:] cirrhosis peritonitis observation care Spontaneous bacterial peritonitis (spontaneous bacterial peritonitis, SBP is common in patients with liver cirrhosis with ascites serious complication rate of up to 10% ~ 30% [1] SBP in patients with the disease complex, critical, if early diagnosis, through close observation of disease changes, timely treatment and careful nursing, can improve the cure rate, mortality reduction, the maximum saving lives of patients. In the course of treatment is an important part of nursing work, now I admitted from 2000 to 2003 Section 120 Nursing of patients with SBP, summarized as follows: 1 Clinical data The group of 120 patients, 108 cases male, 12 female, male to female ratio of 9:1 age 21 to 71 years, mean 46 years, 110 patients aged 40 to 65, accounting for 73%, indicating that SBP in patients with cirrhosis older, mainly to middle-aged. Most of this group of 120 patients with fever, abdominal pain, abdominal tenderness and rebound tenderness in the SBP and other typical performance, but 120 cases in 10 cases no fever, no abdominal pain, no peritoneal irritation, which only showed refractory ascites 4 cases to 4 cases of hepatic coma mainly to diarrhea in 2 cases. ascites examination: white blood cell countgt; 500 106 / L (PMNgt; 0.25 for the 100 patients (87%, 60 cases of culture-positive ascites (40%. 2 Care 2.1 General care of patients with liver cirrhosis complicated SBP should be noted: (1 Strict bed rest in order to increase blood flow to the liver, liver cells conducive to recovery, and should be the law of life, sleep enough. Given elevation of both lower extremities edema in both lower limbs, and promote lower limbs blood return and reduce edema, massive ascites in patients with breath half supine desirable, resulting in decreased diaphragm to increase lung capacity is conducive to brea