about two cases of strangulating intestinal obstruction complicated by shock first aid nursing（两例遏制肠梗阻并发休克的急救护理）.docVIP

About two cases of strangulating intestinal obstruction complicated by shock first aid nursing Paper Network: [Definition of strangulating intestinal obstruction] intestinal contents can not run smoothly through the intestinal tract, known as intestinal obstruction. Strangulated bowel obstruction means the obstruction accompanied by impaired blood supply, may be due to mesenteric vascular compression caused by thrombosis or embolism. [Strangulating intestinal obstruction in the differential diagnosis] 1 episodes of acute abdominal pain, persistent pain is starting, or are still ongoing between the increase in paroxysmal pain, hyperactive bowel sounds may sometimes appear low back pain, severe and frequent vomiting appear early. (2) rapid progression of the disease, early shock, anti-shock treatment no obvious improvement. 3 significantly increased peritoneal irritation temperature pulse to accelerate white blood cell count increased. 4 asymmetric bloating, abdominal tenderness localized uplift or reach the mass. 5 out of fluid decompression vomit, bloody anal discharges, or abdominal puncture out of bloody fluid. 6 The active non-surgical treatment of the symptoms did not improve 7 see the isolated abdominal X-ray examination, prominent swelling of the intestinal loop, the location does not change over time, or false tumor-like shadow, or intestinal gap widened, suggesting ascites. Our department in 2011 April-May has rescued two cases of strangulating intestinal obstruction, acute peritonitis, toxic shock patients, family members of patients abandon treatment eventually discharged. Now Rescue and Nursing reported as follows. 1 Case Information Case 1: male patients. 76 years old. For ‘abdominal pain’ to hospital out-patient treatment, collapsed during an inspection, rushed to the emergency room for treatment. Check the patient conscious, pale, cold extremities, cyanosis. P138-258 times / min, R24 times / min,