1例肝硬化食管胃底静脉曲张内镜下治疗后反复出血患者的医护一体中医护理查房案例.docx

1例肝硬化食管胃底静脉曲张内镜下治疗后反复出血患者的医护一

体中医护理查房案例

chinaXiv:202310.03337v1摘要：本文总结1例肝硬化食管胃底静脉曲张破裂出血患者经无痛内镜下食管静脉曲张硬化剂治疗及胃底静脉曲张组织胶治疗后反复出血的医护一体化中医护理查房的实践经验。根据患者临床资料，由责任护士汇报病例，医生分析病情，医护联合针对患者症状进行讨论，协同制定个体化护理措施。通过医护一体化查

chinaXiv:202310.03337v1

关键词：食管胃底静脉曲张破裂出血；肝硬化；内镜；医护一体化；中医；护理查房

Acaseofintegratedmedicalcareandtraditional

Chinesemedicinenursingroundsforapatientwith

recurrentbleedingafterendoscopictreatmentof

esophagealandgastricvaricesinlivercirrhosis

LIANXiaojing1，LIFeifei1，WANGXiaolan2，GUOHuimin2，HANGLili2

（1.IntegrativeMedicineCenter，BeijingYouanHospitalCapitalMedicinalUniversity，Beijing，100069）

（2.DepartmentofNursingy，BeijingYouanHospitalCapitalMedicinalUniversity，Beijing，10006）

ABSTRACT：Thisarticlesummarizesthepracticalexperienceofa

patientwithlivercirrhosis,esophagealandgastricvaricealbleeding,whounderwentpainlessendoscopictreatmentwithesophagealvaricealsclerosingagentandgastricvaricealtissueglueforrecurrentbleeding.Theintegratedmedicalandnursingcareoftraditional

Chinesemedicinewardroundswereconducted.Basedonthe

patientsclinicaldata,theresponsiblenursereportsthecase,the

doctoranalyzesthecondition,andthemedicalstaffcollaboratestodiscussthepatientssymptomsanddeveloppersonalizednursingmeasures.Byintegratingmedicalandnursingrounds,treatmentandnursingarecombinedtoachievepersonalized,refined,andcomprehensivenursingoutcomes,therebyimprovingnursingqualityandpromotingpatienthealth.

chinaXiv:202310.03337v1KEYWORDS：Esophagealandgastricvaricesbleedingr；Livercirrhosis；Endoscopy；doctor-nurseintegration；TraditionalChineseMedicine；nursing

chinaXiv:202310.03337v1

食管胃静脉曲张破裂出血（esophagogastricvaricealbleeding；EGVB）是肝硬化门静脉高压患者最致命的并发症之一，起病急骤、发展速度快、病死率可高达84%，也是肝硬化患者死亡的主要原因[1-2]。目前公认的EGVB最有效的治疗包括内镜下硬化剂、组织胶注射及套扎等方法[3]。虽然硬化剂联合组织胶治疗也取得了很好