肝硬化合并上消化道再次出血的诱因分析及护理  

Causes and Care of Cirrhosis and Upper Gastrointestinal Bleeding Again

作　　者：陈学君 邹文英 史华兰 CHEN Xue-jun,ZOU Wen-ying,SHI Hua-lan （First People,s Hospital of Sichuan Province,Chengdu 643000,China）

机构地区：[1]四川省第一人民医院,四川成都643000

出　　处：《医学信息》2010年第16期2599-2601,共3页Journal of Medical Information

摘　　要：目的分析肝硬化合并上消化道再出血的诱因,以进行有针对性的护理。方法回顾性分析我科2008年2月～2009年12月收治的,50例肝硬化合并上消化道再出血患者病例资料。结果 50例肝硬化合并上消化道再出血患者中有明显诱因74.0%,无明显诱因26.0%,对患者进行有效地护理干预,护理效果良好。50例患者痊愈出院82.0%,死亡18.0%,B组较A组死亡患者明显减少差异有统计学意义（P〈0.05）。结论肝硬化合并上消化道出血可因诱因复发而大出血,积极有效的护理,避免诱因复发,可减少上消化道再次出血的发生。Objective Of cirrhosis and upper gastrointestinal rebleeding incentives for targeted care. Methods Retrospective analysis of our department in February 2008 ~ December 2009 50 cases were treated again with cirrhosis and upper gastrointestinal bleeding were compared. Results 50 patients with cirrhosis and upper gastrointestinal bleeding in another significant incentive for 74.0%, 26.0% had no incentive for patients to carry out effective nursing intervention, nursing effectively. 50 patients were discharged 82.0%, mortality 18.0%, B group than in A group were significantly reduced mortality significantly （P0.05）. Conclusions Cirrhosis and upper gastrointestinal hemorrhage due to bleeding recurrence incentives, positive and effective care, to avoid recurrence incentives can reduce the incidence of upper gastrointestinal bleeding again.

关 键 词：肝硬化 上消化道再次出血 诱因 护理 

分 类 号：R657.34[医药卫生—临床医学;医药卫生—外科学]