Nursing upper gastrointestinal bleeding.doc

 PAGE \* MERGEFORMAT 9 Nursing upper gastrointestinal bleeding [Keywords:] liver cirrhosis, upper gastrointestinal bleeding, care Upper gastrointestinal bleeding is a common serious clinical disease, its common as liver cirrhosis, peptic ulcer, and so on. And cirrhosis esophageal variceal upper gastrointestinal bleeding caused by a more ominous. Also often accompanied by chronic cirrhosis with ascites , serious complications such as hepatic encephalopathy, liver cirrhosis currently no effective medical treatment, so care is very important. In this paper, 2004-2008, 216 cases in our hospital due to upper gastrointestinal bleeding in cirrhosis of Nursing Report as follows. 1 Clinical data Cases of 216 cases observed in this group, patients with upper gastrointestinal bleeding are cirrhosis, 145 patients were male, female 71 cases, aged 41 to 75 years (mean 55.1 + -10.6 years, 173 cases in which varying degrees of ascites and low albumin, 68 cases with hepatic encephalopathy, 94 patients with spontaneous bacterial peritonitis, 27 cases with hepatorenal syndrome, 69 cases of hypersplenism. 2 Care [1 ~ 3] 2.1 General care (position, rest, skin, upper gastrointestinal bleeding in patients with cirrhosis of the liver, poor physical fitness, Nursing and more bed rest should be to increase blood circulation and the liver to facilitate liver recovery, massive ascites desirable semi-recumbent position to facilitate breathing exercises, daily for at least 8h. For those who encourage and assist bedridden patients often change position every day to scrub the skin to prevent bedsores occur. Patients with severe illness, the body resistance is low, prone to various infections, such as a clean environment should be well ventilated, reduce the chance of infection. patients because of physical decline, in bed for a long time, it should strengthen skin care, so patients should be maintained daily body cleansing, for the bedridden who can use the air bed, often sh