摘要
摘要：目的 总结消化性溃疡并发急性上消化道出血的护理经验，提高救治水平。方法 对 38例消化性溃疡并发急性上消化道出血的患者，实施综合护理干预，包括密切观察病情，做好基础护理、输液和用药护理、胃镜下止血护理、心理护理、健康教育和饮食护理。结果 38例患者中 23例经内科保守治疗，综合护理干预后出血停止，治愈出院； 15例患者经药物治疗出血未能控制，采用电子胃镜下注射去甲肾上腺素生理盐水治疗，治疗后 13例出血得到控制，治愈出院， 2例效果不佳，转外科手术后出血控制，治愈出院。所有患者均未出现严重并发症。结论 对消化性溃疡并发急性出血的患者采取综合护理干预，可以降低死亡率，提高治愈率。
关键词：消化性溃疡；急性上消化道出血；护理
Abstract: Objective To summarize the nursing experience of peptic ulcer complicated with acute upper gastrointestinal hemorrhage and improve the treatment level. Methods 38 patients with peptic ulcer complicated with acute upper gastrointestinal hemorrhage were given comprehensive nursing intervention, including close observation of the condition, basic nursing, infusion and medication nursing, hemostasis nursing under gastroscope, psychological nursing, health education and diet nursing. Results among the 38 patients, 23 were treated conservatively by internal medicine, and after comprehensive nursing intervention, the bleeding was stopped and cured; 15 patients failed to control the bleeding after drug treatment, and they were treated by injecting noradrenaline physiological saline under electronic gastroscope. After treatment, 13 patients were controlled, cured and discharged, and 2 patients were not effective. After the operation, the bleeding was controlled and cured. No serious complications occurred in all patients. Conclusion comprehensive nursing intervention for patients with peptic ulcer complicated with acute hemorrhage can reduce the mortality and improve the cure rate.
出版日期
2020年08月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
