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 acute 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 hemostasis effect except one case,who showed no effect with hemostatie 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 prognosis of patients.