Complications of severe hepatitis Observation and nursing.docVIP

 PAGE \* MERGEFORMAT 14 Complications of severe hepatitis Observation and nursing 【Key Words】 Hepatitis; complications; hepatic encephalopathy; gastrointestinal bleeding; water-electrolyte imbalance; Care Complex condition with severe hepatitis and its complications is the main reason for causing deaths. The timely detection of the aura symptoms and effective treatment measures is to improve the key to survival in patients with severe hepatitis [1]. Clinically, severe hepatitis with hepatic encephalopathy, gastrointestinal bleeding, electrolyte disturbance as more common. I Section 2003 to 2005 collected cases of severe hepatitis in hospital where the diagnosis of viral hepatitis in 2000 in line with the diagnostic criteria [2], of which 34 cases with the above-mentioned complications, now our observation and nursing experience summarized as follows: A clinical data The group of 34 patients, male 25, female 9 cases, the oldest 68 years old the youngest 17 years old. Complicated by hepatic encephalopathy 8 cases, accounting for 23.53%; complicated by gastrointestinal bleeding in 6 cases, accounting for 17.65%; concurrent electrolyte disorder in 20 cases, accounting for 58.83%. 2 Observation and nursing of complications 2.1 Hepatic encephalopathy is a serious liver disease in patients with extensive liver damage, liver failure caused by a central nervous system syndrome, to calculate the force and directional power drops, disturbance of consciousness and neurological motor function is limited as the main clinical performance. Prodromal period of sub-clinical, pre-coma, drowsiness period, coma period [3]. The clinical observation and care in eight cases of hepatic encephalopathy in patients with coma and pre-performance. Of which 3 patients had irritability, incontinence, body temperature, fever, convulsions and so on. During visits to observe the condition, we found that the patient condition changes should be immediatel