Endoscopic ligation of esophageal varices and bleeding with Nursing_0.docVIP

 PAGE \* MERGEFORMAT 6 Endoscopic ligation of esophageal varices and bleeding with Nursing [Keywords:] esophageal and gastric varices, bleeding, endoscopy, ligation, nursing Variceal ligation (EVL is the treatment of esophageal variceal bleeding methods. Variceal ligation in the course of treatment, after 1 to 3 days with slight feeling of pain, local inflammation, varicose vein thrombosis with aseptic inflammation, necrosis .7 ~ 14 days of the rubber ring off .95% of patients had superficial ulceration, retraction or even disappear varicose vein, esophageal fibrosis, deep ulcers, bleeding, perforation and other serious complications [1] . our hospital in December 2002 ~ November 2007, to cirrhosis and esophageal variceal bleeding and severe varicose veins, 120 patients underwent EVL therapy, and achieved satisfactory results. now Nursing summarized as follows: 1 Materials and Methods 1.1 General Information The group of 120 cases, 102 cases of male and 18 female patients aged 15 to 75 years, mean 47 years. Patients were liver cirrhosis, esophageal endoscopy see severe varicose vein in 6 cases, severe varicose and rupture of 114 cases. 1.2 The equipment produced by Japanese electronic gastroscope Olympus -240, -250 Fuji electronic endoscopy. Tianjin Medical Research Limited production of biological materials ligation, electric suction apparatus and so on. 1.3 Methods of preoperative routine examination, understanding of gastric varices, determine the ligation site. Ligation device installed and then exit with endoscopic ligation endoscopic device slowly into the esophagus, before hemorrhage or below the dentate line around 2cm above the ligation, and then from the bottom spiral ligation of varicose veins, varicose vein ligation each 2 to 3 rings, the distance between the rings is 3 ~ 4cm, when each ligation should transparent cap quasi-central part of varicose veins, - (0.06 ~ 0.08) kPa of suction, so that full inhalation to the perspective va