about one case of hepatic encephalopathy nursing observation and patient outcomes（对一例肝性脑病的护理观察和病人的结果）.docVIP

About one case of hepatic encephalopathy nursing observation and patient outcomes Hepatic encephalopathy is a severe liver failure caused by the change of consciousness and coma-based central nervous system dysfunction syndrome. Now our department on October 28, 2010 1 case treated patients with hepatic encephalopathy successful treatment nursing are described below. Case Description: The patient, male, 21 years old. Elementary school suffered from ‘hepatitis’, after treatment has been able to work so far, three days before the patient had no incentive to loss of appetite, limb weakness was followed by yellowish discoloration of skin, yellow urine, not pay attention to. at 1 day before admission, nausea, vomiting, stomach contents several times, no vomiting. coma patients, call it can even be, confusion. admission examination: body temperature 36.5 ℃, pulse 96 beats / min, respiratory 20 beats / min, blood pressure 120/70mmHg. Pale coma patients, irritability, breathing a little deep, mild liver smell, pressure and pain reflex orbital. Two pupils so large and round, diameter 2.5mm, light reflex exists. Lungs and did not hear and sputum wet and dry rales. Liver and spleen not palpable ribs, limbs, muscle tension, neck, knee tendon reflex. Admission After various tests: hepatitis B surface antigen positive, ammonia 356pg/dl, ALT2660u / L, AST907u / L, TBIL214.2umol / L, cholesterol 1.69mmol / L, normal renal function. hospital after the diagnosis of ‘chronic severe hepatitis B and liver encephalopathy. ‘ Ⅰ level care after admission, the next critical condition and notify the family and explain the disease, fasting, 24 hours of urine, catheterization, intravenous catheter, ECG monitoring, intravenous infusion of branched-chain amino acids, aspartic acid, ammonia, potassium, glycyrrhizic acid diamine, hepatocyte growth factor, omeprazole, arginine-line liver, liver handled Applied enema, blood transfusion, infusion of electrolyte solution in order