急性上消化道出血护理研究.doc

急性上消化道出血护理研究【中图分类号】R473 【文献标识码】A 【文章编号】1672－3783(2011)09－0040－02 【摘要】目的：提高急性上消化道出血的护理水平，降低上消化道出血患者的临床死亡率。方法：对我院自2007年3月~2010年8月收治的120例急性上消化道出血患者的临床资料进行回顾性分析，所有患者均给予心理护理、一般护理、对症护理等，总结护理方法并观察护理效果。结果：本组120例患者住院时间3~21d，平均12.5d。治疗后12h内止血者85例（70.8%），治疗后24h内止血者29例（24.2%），治愈74例，好转34例，死亡2例，本组患者死亡率为1.7%。对出院患者进行为期6个月的随访观察，再次出血3例，其余均未复发，基本不影响生活。结论：急性上消化道出血是临床常见危急重症，临床死亡率较高，给予精心治疗的同时配合相应护理工作，可显著提高治疗效果、降低并发症、改善患者预后。? 【关键词】上消化道出血；护理；心理护理? 【Abstract】Objective: To improve the care of acute upper gastrointestinal bleeding levels, reducing upper gastrointestinal bleeding in patients with clinical death. Methods: The hospital from March 2007 - August 2010 120 patients admitted with acute upper gastrointestinal bleeding in patients with clinical data were retrospectively analyzed, all patients were given psychological care, general care, symptomatic care, nursing Summary and observe the care effect. Results: 120 patients length of stay 3 ~ 21d, an average of 12.5d. Bleeding within 12h after treatment were 85 cases (70.8%), bleeding within 24h after treatment in 29 cases (24.2%), cured 74 cases, improvement in 34 cases, 2 deaths, this group of patients mortality was 1.7%. Discharged patients for a six-month follow-up observation, once again bleeding in 3 cases, the rest were not relapse, does not influence the life. Conclusion: Acute upper gastrointestinal bleeding is a common clinical emergency with severe clinical mortality rate is higher, given careful treatment in conjunction with the appropriate care, can significantly improve treatment and reduce complications and improve the prognosis of patients. ? 【Key words】upper gastrointestinal bleeding; care; psychological care 消化道出血以Treitz韧带为界，在其上的出血称为上消化道出血，而临床约有80%以上的消化道出血均来自Treitz韧带以上［1］。上消化道出血具有高致命性，临床在提高诊治水平的同时还应该积极配合以护理措施，以提高临床治疗效果、降低并发症的发生率。本文就我院近年来收治的120例急性上消化道出血患者的临床资料进行回顾性分析，总结临床护理方法，以期对临床工作有所帮助，报告如下：? 1 临床资料? 1.1 一般资料 对我院自2007年3月~2010年8月收治的120例急性上消化道出血患者的临床资料进行回顾性分析，120例患者中男76例，女44例；年龄18~82岁，平均46.8岁；出血病因中消化性溃