Double-lumen tube capsule three operations to stop bleeding and care.docVIP

 PAGE \* MERGEFORMAT 6 Double-lumen tube capsule three operations to stop bleeding and care [Keywords:] double capsule three-cavity tube operating nursing hemostasis Portal hypertension caused by esophageal and gastric variceal bleeding is common in acute critical illness, high mortality, large amount of bleeding, rapid, with the general hemostatic agents, hemostatic effect is not obvious, two three-cavity tube compression is a capsule esophageal and gastric variceal bleeding is one of effective methods to stop bleeding, now operating and Nursing reported below. 1 Clinical data January 2005 to December 2008, our department were treated cirrhosis esophageal and gastric variceal bleeding in patients with 31 cases, 16 cases were male, aged 25 to 73 years, mean age 45 years; 15 women, age 22 to 70 years, mean age 46 years. three-cavity tube with double capsule hemostasis, bleeding after 24 h of 24 cases, 7 48 ~ 72 h of bleeding, 1 case died from complications after hemostasis. 2 How 2.1 The equipment inspection will Weinang inflatable 300 mL, esophageal inflatable bag 100 mL, induced in a water basin, to see whether there are air bubbles escaping air bag, no air bubbles to escape, that air bags in good condition, and then observe the balloon wall is uniform Bo Hou , flexibility, strength is no problem, the net pumping the gas, spare. Item 2.2 Sheng double capsule for the treatment basin and a three-cavity tube, a bottle of paraffin oil, gloves, 2 to pay, 50 mL syringe 2, clamp 2, 2 pieces of gauze, tape 2, the bandage 1, 250 ~ 500 g weight of items. 2.3 for the patients supine patient, head to one side, the nurse stood to the left of the patient, cleaning the nose, well before intubation of patients with psychological care, and explain the intubation precautions must be compatible with the points. 2.4 the double capsule three-cavity tube coated paraffin oil pipe to the 50 ~ 55 cm at and gently rotate slowly around the tube to the throat i