58例老年重型肝病的护理体会

目的通过综合治疗、精心护理,及早发现重型肝病的病情变化,改善老年重型肝病的预后。方法通过对我市传染病专科医院1995~2000年间的58例老年住院病例回顾分析及护理体会,实施对症治疗及包括心理、饮食在内的细致护理,给予人工肝替代疗法、吸附和手术治疗。结果治愈6例,好转17例,死亡35例。结论老年重型肝炎的特点是病情重、进展快、早期临床表现与老年神经与精神疾患相似,容易误诊,死亡率仍很高。在临床护理实践中,通过细心观察病情,从中获得诊断依据,以早期发现、及时诊治,是提高存活率,改善预后的关键。

EXPERIENCES IN THE NURSING CARE OF 58 CASES OF FULMINATE LIVER DISEASE IN SENILE PATIENTS

Objective To improve the prognosis of fulminate liver disease in senile patients through a comprehensive treatment and nursing regimen based on the early detection of symptoms and signs of the disease. Methods Careful nursing observations were carried out in 58 cases of fulminate liver disease in senile patients hospitalized during the years of 1995 - 2000 to estahUsh treatment modalities including artificial liver support, absorption technique, surgery and a comprehensive nursing regimen including psychological and dietary interventions. Results 6 cases were cured, 17 improved and 35 died. Discussion Such a treatment and nursing regimen significantly increased the curative and improvement rates d the disease though the mortality rate remained very high owing to the severity, rapid deterioration and severe complications. The key to improve mortality and prognosis was to establish a comprehensive observation and nursing regimen and prompt ovenll treatment.