Nursing experience of 90 patients with peptic ulcer bleeding.doc

 PAGE \* MERGEFORMAT 5 Nursing experience of 90 patients with peptic ulcer bleeding [Keywords:] Peptic Ulcer nursing With upper gastrointestinal bleeding ulcer disease is a common clinical disease, massive bleeding were higher mortality rate. To do this, take the patient’s psychological treatment and care is to reduce mortality and improve the prognosis important part of our hospital since 1991 were treatment of 90 patients with ulcer bleeding. Nursing is as follows. 1 Clinical data 90 cases, male 75 cases and 15 females. Aged 16 to 75 years, mean 45.4 years old. All the cases diagnosed by endoscopy, in which 65 patients with duodenal ulcer, gastric ulcer in 19 cases, complex ulcer in 4 cases, hemorrhage in 12 cases for the simple hematemesis, melena alone 55 cases, 21 cases of hematemesis melena Canada, 11 patients had hemorrhagic shock. After medical treatment and care, 86 patients stopped bleeding, 2 cases were ineffective or transfer surgery surgery, no 1 died. 2 Nursing 2.1 The early detection of bleeding ulcer disease early this disease is not necessarily obvious hematemesis, melena occur, often expressed as changes in mental status. Therefore, nurses must carefully observe the patient. If the patient irritability, dizziness, sweating, palpitation, frequent nausea, and it is intended, suggesting that bleeding has occurred, an earlier performance. 9 cases of bleeding in this group before the abdominal discomfort, nausea, increased pulse rate to 100 beats / min, 2 hours later it appears black, the timely processing, bleeding stop soon, we can see, only the recognition of early clinical features of bleeding in order to seize the opportunity to cure. 2.2 Observation of bleeding ulcer disease and care of the group of duodenal ulcer bleeding in 65 cases, not accompanied by bleeding 58 cases of simple shock, care to observe the amount of hematemesis and melena, frequency and nature of the patient’s attention consciousness, P, BP