上消化道出血患者的急诊护理探析.docVIP

上消化道出血患者的急诊护理探析 　　doi：10.3969/j.issn.1007-614x.2014.3.75 　　摘 要 目的：探讨对上消化道出血患者的急诊护理。方法：收治上消化道出血疾病患者113例，称作急诊组，另选取113例上消化道出血疾病者行常规护理，称作对照急诊组。急诊组行急诊护理（止血诊治、病情护理），对照急诊组行常规护理。结果：在急诊组的113例患上消化道出血疾病者中，止血显效85例（75.22%），止血有效25例（22.12%），止血无效3例（2.65%）。在对照急诊组的113例患上消化道出血疾病者中，止血显效72例（63.72%），止血有效32例（28.32%），止血无效9例（7.96%），比较急诊组与对照急诊组的止血效果，明显急诊组优于对照急诊组，P0.05。结论：积极实施术前准备、术中配合、术后用药以及健康饮食教育等急诊护理，可使上消化道出血症状得以改善，从而提升诊治上消化道出血疾病患者的成功率。 　　关键词 急诊护理 上消化道出血 止血 成功率 　　Emergency nursing care of patients with upper gastrointestinal hemorrhage 　　Zhang Xian 　　Emergency of Simao District Peoples Hospital of Puer city of Yunnan Province，665100 　　Abstract Objective：To explore the emergency nursing care of patients with upper gastrointestinal hemorrhage.Methods：We selected 113 cases of upper gastrointestinal bleeding during July 13，2011 to August 16，2013 as the emergency group.We selected 113 cases of upper gastrointestinal bleeding as control the emergency group with routine nursing care.The emergency group underwent emergency nursing（hemostatic treatment，disease nursing），and the control group received routine nursing.Results：In 113 patients of emergency group，the hemostatic effect of 85 cases（75.22%）was significant，25 cases（22.12%）good，3 cases（2.65%）invalid.In 113 patients of control emergency group，the hemostatic effect of 72 cases（63.72%）was significant，32 cases（28.32%）good，9 cases（7.96%）invalid.Effect of emergency group was better than that of in control group，the difference was significant（P0.05）.Conclusion：We should actively implement the preoperative preparation，intraoperative cooperation，postoperative medication and healthy eating education.This can improve the hemorrhage of upper digestive tract bleeding symptoms，so as to enhance the success rate of treatment of upper digestive. 　　Key words The emergency nursing；Hemorrhage of upper digestive tract；Hemostasis；The success rate 　　上消化道出血所属消化道病种，属于常见的进展快、起病急的病症。在患病初期，不具有危险性。当大静脉、小动脉发生破坏性现象时，会急速加大出血量，进而加重病情，不及时展开抢救患者生命会被危及[1]。因此应当早日诊断，