腹腔负压填塞救治腹腔感染合并腹腔大出血患者的护理

目的总结对严重腹腔感染合并腹腔大出血患者采用腹腔负压填塞救治时及相应的护理措施,观察其临床救治效果。方法腹腔负压填塞救治20例腹腔感染合并腹腔大出血患者,其中胰周和腹膜后出血14例,肠瘘口及周围脓腔出血6例。护理应（1）严密观察出血潜在征兆;（2）实施应急预案;（3）加强护理,预防术后并发症。结果20例患者均应用腹腔负压填塞救治,存活16例,死亡4例;平均填塞时间为（4.8±1.1）d。结论腹腔负压填塞是救治腹腔感染合并大出血的有效方法之一,完善应急预案和快速加强护理措施,医护密切配合是提高救治成功率的关键。

Nursing of Abdominal Packing for Intra-abdominal Infection Combined with Abdominal Hemorrhea

Objective To summarize abdominal infection combined with abdominal packing and nursing abdominal hemorrhea. Methods for patients with severe intra Of the 20 patients with intra abdominal infection combined with abdominal hemorrhea treated with abdominal packing, hemorrhage of per-pancreas ＆ retroperitoneal and hemorrhage of intestinal fistula ＆ vomica occurred in 14 and 6 patients respectively. The corresponding nursing strategies included（1）close observation of the potential symptom of hemorrhage, （2） implementation of stringency proposal, （3）intensive nursing intervention and prevention of postoperative complications. Results Of the 20 patients given abdominal packing with sump drainage, 16 patients survived and the other four patients died. The mean packing period was 4.8± 1.1 days. Conclusion Abdominal packing with sump drainage is an effective procedure for intra-abdominal infection combined with hemorrhea. Improvement of stringency proposal, expeditiously nursing intervention and close cooperation of doctors and nurses are the key points to increase the achievement ratio of patients.