重症急性胰腺炎术后腹腔内大出血患者的护理

目的 探讨重症急性胰腺炎(SAP)引起的腹腔内出血的原因和护理经验.方法 对1998年3月-2007年3月哈尔滨医科大学附属第二医院SAP术后并发腹腔内大出血的19例患者的临床资料进行回顾性分析.结果 除了1例经止血药及局部压迫治疗未止血后经直视下缝扎止血外,其余病例止血效果良好.本组死亡4例.结论 SAP术后腹腔内大出血的死亡率高,一旦发现应该及时处理,以改善患者的预后.

Nursing of patients with intra-abdominal haemorrhage after surgery of severe acute pancreatitis

Objective To investigate the reason of intra-abdominal haemorrhage caused by severe a-cute pancreatitis (SAP) and its nursing experience. Methods A retrospective study was carried out in 19 patients with intra-abdominal haemorrhage after SAP surgery in the Second Affiliated Hospital of Harbin Medical University from March 1998 to March 2007. Results All other patients received good hemosta-sis effect except one case,who showed no effect with hemostatic drug and local compression,but at last showed effect by transfixion under direct vision. Conclusions Intra-abdominal haemorrhage after SAP surgery has high mortality rate. It should be dealt with in a timely manner with a view to improve the prog-nosis of patients.