| 门静脉高压症上消化道出血手术护理 |
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| 引用本文： | 魏代淑.门静脉高压症上消化道出血手术护理[J].山东医学高等专科学校学报,2009,31(1). |
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| 作者姓名： | 魏代淑 |
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| 作者单位： | 山东医学高等专科学校附属医院,山东,临沂,276004 |
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| 摘 要： | 目的 探讨门静脉高压症上消化道出血手术护理要点及注意事项.方法 对34例门脉高压症上消化道出血患者行脾切除、贲门周围血管离断术后的临床资料、护理要点及注意事项等进行回顾性分析.结果 术后2例死于肝肾功能衰竭、低蛋白血症及顽固性腹水,均为肝功能失代偿并同时行胆囊切除术者.32例患者术后随访6个月～3年,随访率94.1%,共有2例患者术后再次出血,均经保守治疗痊愈.本组总的再出血率6.3%(2/32),低于其他报道(10%).结论 断流术是治疗门静脉高压症上消化道大出血的常用术式,良好的术后护理和出院后的健康教育是手术成功及预防术后再出血的重要保证.
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| 关 键 词： | 门脉高压症 断流术 上消化道出血 护理 |
SURGICAL NURSING RESEARCH ON UPPER GASTROINTESTINAL BLEEDING CAUSED BY PORTAL HYPERTENSION |
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| WEI Dai-shu.SURGICAL NURSING RESEARCH ON UPPER GASTROINTESTINAL BLEEDING CAUSED BY PORTAL HYPERTENSION[J].Journal of Shandong Medical College,2009,31(1). |
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| Authors: | WEI Dai-shu |
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| Institution: | The Affiliated Hospital of Shandong Medical College;Linyi;China 276004 |
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| Abstract: | Objective To explore the effective nursing measures in treating upper gastrointestinal bleeding caused by portal hypertension.Methods Splenectomy was performed on 34 cases of upper gastroointestinal bleeding caused by protal hypertension.The clinical data of pericardial devascularization and the nursing measures were analyzed retrospectively.Results 2 cases died of liver failure,renal failure,hypoproteinemia and refractory ascites.Both of them suffered from decompensated liver function and received cholecys... |
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| Keywords: | Portal hypertension Devascularization upper gastrointestinal bleeding Nursing |
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