第十一章急性肠梗阻病人的护理(国外英文资料).docVIP

第十一章急性肠梗阻病人的护理(国外英文资料) Chapter 11 the care of patients with acute intestinal obstruction Learning goals To grasp the clinical manifestations and nursing points of acute intestinal obstruction. Be familiar with the treatment principle of acute intestinal obstruction. Understand the etiology and pathogenesis of intestinal obstruction. Be able to evaluate patients, develop care plans, implement nursing measures and provide health guidance to patients. Caring for the patient and caring for the patient. The import situation Mr. Li, 55 years old, had a conservative treatment in the ward, with a gastric decompression tube, fluid infusion. The patient still complained of abdominal pain. What changes should the nurse observe? What about the patients abdominal pain? Intestinal obstruction refers to the inability of the intestine to function properly and pass through the intestinal tract for common acute abdominal disease. [etiology and pathogenesis] The cause of obstruction can be divided into: (1) mechanical intestinal obstruction: the most common clinical occurrence is the inability of the intestine to pass through due to mechanical factors that cause the colon to be narrowed or blocked. The main reasons include: the obstruction of the cavity: stone, dung, parasite, foreign body and so on. External pressure: intestinal adhesion, intestinal torsion, inlaid hernia, or tumor compression. Lesions in the intestinal wall, such as intestinal tumor, intonation of the intestine, and congenital intestinal closure. (2) dynamic ileus: no organic stenosis lumen, mainly caused by nerve reflex or toxins to stimulate intestinal wall muscular dysfunction, loss of bowel movements or spasm in the intestinal contents can not run. It can be broken down into: the paralytic ileus: also called the non-dynamic bowel paralysis. It is common in acute diffuse peritonitis, hypokalemia and some abdominal surgery. Spastic obstruction: relatively rare, but secondary to uremia, heavy metal poisoning and bo