三腔二囊管改良操作治疗食管胃底静脉曲张破裂出血（护理论文资料）.docVIP

三腔二囊管改良操作治疗食管胃底静脉曲张破裂出血（护理论文资料） 文档信息 ： 文档作为关于“医学心理学”中“外科学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文7062字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：三腔二囊管改良操作治疗食管胃底静脉曲张破裂出血 1 1资料与方法 3 文2：肝硬化并发食道胃底静脉曲张破裂出血46例护理体会 6 1 临床资料 6 2 护理 6 三腔二囊管的护理[2] 7 3 讨论 10 4 小结 10 参考文摘引言： 11 原创性声明（模板） 11 文章致谢（模板） 12 正文 三腔二囊管改良操作治疗食管胃底静脉曲张破裂出血（护理论文资料） 文1：三腔二囊管改良操作治疗食管胃底静脉曲张破裂出血 doi：/-.003 The modified intubation of sengstaken-blakemore tube used for treating bleeding of esophageal and gastric varices WANG Li-yu (The People′s Hospital of Lechang city Guangdong province，Lechang512200) AbstractObjective：To explore the modified intubation of sengstaken-blakemore tube used for treating bleeding of esophageal and gastric varices。 Methods：82 cases of patients with bleeding of esophageal and gastric varices and treating of sengstaken-blakemore tube were randomly divided into experimental group and control group，the routine intubation were used for control group，and modified intubation that inlaying Shashi guide-wire as support were used for experimental group。 Results：The efficiency rate and total effective rate of bleeding control，breakage rate of balloon between two groups had no significant difference(all P).The success rate of intubation by one time in experimental group significantly higher than that in control group(P＜)，pain degree wa significantly lower than that in control group(P Conclusion：Inlaying Shashi guide-wire as support，is a feasible method of modified intubation of sengstaken-blakemore tube，it deserved coidering in clinical work。 Key wordsSengstaken-blakemore tube；Modified intubation；Bleeding of esophageal and gastric varices 食管胃底静脉曲张出血在临床较为常见，三腔二囊管压迫止血是治疗食管胃底静脉曲张出血的重要方法。传统插管方法操作时间长，对患者刺激性强，且一次性使用的三腔二囊管管身软，插管时力量不易有效地传到远端，常因患者不配合、无法下咽等导致插管失败或加重出血［1］。我们采用沙氏导丝插入三腔二囊导管内作支撑进行插管，取得较好效果，现将方法报道如下。 1资料与方法 临床资料选择2010年11月~2012年10月我科收治的肝硬化门脉高压症合并食管胃底静脉曲张破裂大出血患者82例。男46例，女36例。年龄（±）岁。病例来源：普外科患者32例，消化内科患者41例，感染疾病科患者9例。将患者随机等分为观察组和对照组。两