Nursing severe hemorrhoids.doc

Nursing severe hemorrhoids 0 Introduction Hemorrhoids is a common disease, most patients can be improved by conservative treatment, but severe hemorrhoids (Ⅲ degree, Ⅳ-degree hemorrhoids) multi-block long-term blood in the stool and hemorrhoids prolapse, poorly to drug therapy and surgical resection difficult, injection sclerotherapy Although simple, However, high recurrence rate. I hospital with circular stapler hemorrhoidectomy surgery (PPH) for severe hemorrhoids, 16 patients with satisfactory result, efficiency was 100%. Now it nursing experience reported as follows. A clinical data In this group a total of 14 (male 8, female 6), aged 25 to 72 (mean 48) years, ranging from 1 ~ 30 a history. 14 cases were stool bleeding, before surgery have to undergo drug treatment. Of which 5 cases have been OK hemorrhoids sclerotherapy, 3 patients had history of hemorrhoid removal surgery. 2 Perioperative nursing 2.1 Preoperative Care Patients with mental stress more than before that individual patient because of relapse, so this method there is suspicion. Patient and meticulous in the church is important, should be avoided in patients with preoperative mood swings, Zhu Huanzhe into the full-flow water, proper po laxatives. Due to surgery required before routine enema, while the majority of rectal mucosa in patients with congestion and edema, so to choose a skilled nursing operations, to avoid injury mucosa, worse. 2.2 points post-operative care PPH complications observed post-operative care is the key, mainly bleeding observed. Should be closely observed blood pressure, pulse, respiration changes and the situation wound exudate. After the first 1, the majority of patients were discharged the anus a small amount of dark red blood, Needless to treatment, such as excessive bleeding or sudden emit large amounts of blood and blood clots, should immediately stop bleeding, symptomatic treatment. secon