Sclerotherapy in acute bleeding esophageal varices Nursing.docVIP

 PAGE \* MERGEFORMAT 7 Sclerotherapy in acute bleeding esophageal varices Nursing [Keywords:] esophageal variceal bleeding, sclerotherapy, care Sclerotherapy in the emergency department has a good effect to stop bleeding, emergency hemostasis rate of 74% -92% [1]. In our hospital from carrying out sclerotherapy of esophageal variceal bleeding has achieved good results. Sclerosis treatment has some complications such as ulcers or bleeding at the injection site, lung and kidney damage hardening agent of human blood and other organs, esophageal stricture and perforation [1]. excellent care in ensuring the treatment of esophageal variceal sclerotherapy in acute bleeding and reduce complications play an important role. now I Section 2008 and 2009 27 cases of local low-dose injection of 5% sodium morrhuate treatment of esophageal variceal bleeding in patients with acute nursing care reported below. 1 Clinical data Since 2008, our department with acute bleeding esophageal varices were treated 27 patients, 16 patients were male and 11 female, aged 32 to 79 years, mean age 55 years. There are different levels of hematemesis, melena, endoscopic found esophageal varices. Child classification of liver function: A 8 cases, B 12 cases, C grade in 7 cases. for patients with variceal bleeding, it is not used for statistical degree of varicose veins. the patients underwent emergency gastroscopy small 5% of fish were injected with sodium glycerol treatment, emergency bleeding rate of 93% (25/27, 2 cases severely damaged liver function, blood coagulation serious damage, emergency hemostatic effect of poor treatment by other methods. early rebleeding 72h in 1 case, 7d in 1 case, 14d in 2 cases, 30d in 1 case, re-injection sclerotherapy 7d intervals until the varices disappeared or almost disappeared, continuous 2 30d after sclerotherapy of esophageal varices disappeared in 8 cases , 3, disappeared after the second injection, 12 cases of varicose veins. The main complic