49例急诊内镜诊治Dieulafoy病的护理配合  

The nursing cooperation of emergency endoscopic diagnosis and treatment of 49 patients with Dieulafoy disease

作　　者：朱冬兰[1] 张明珠[1] 成敏[1] 杨传春[1] 伏亦伟[1] 

机构地区：[1]江苏省泰州市人民医院北院消化内镜中心,225300

出　　处：《护理实践与研究》2012年第21期144-145,共2页Nursing Practice and Research

摘　　要：目的:探讨急诊内镜下诊治Dieulafoy病的护理配合方法。方法:在内镜下对49例Dieulafoy病病人进行诊治护理,内容主要包括内镜检查前常规准备,活动性出血伴休克的抢救及术中止血治疗的护理配合等。结果:本组病人均在消化道出血12 h内行急诊诊治,其中4例诊断后直接转外科治疗,其余45例经内镜成功止血。49例Dieulafoy病病人均成功获救。结论:急诊内镜诊治应争取在消化道出血后24 h内进行,生命体征不平稳的病人,可在内科抗休克的同时进行内镜下治疗。护士熟练掌握配合内镜止血治疗的护理措施至关重要。Objective：To discuss the nursing cooperation methods of emergency endoscopic treatment of Dieulafoy disease.Methods：Nursing of endoscopic diagnosis and treatment of 49 patients with Dieulafoy disease,included general preparation before endoscopy,ample articles involved,emergency treatment to patients with active bleeding and shock and nursing measures of hemostatic therapy in treatment.Results：49 patients with Dieulafoy disease got emergency diagnosis and treatment in 12 h,with 4 cases for surgical treatment directly after diagnosis and 45 cases for successful endoscopic hemostasis.49 patients with Dieulafoy disease were all successfully rescued.Conclusion：Emergency endoscopic diagnosis and treatment should be performed within 24 h after gastrointestinal hemorrhage,and endoscopic therapy should be performed during internal antishock in the patients with unstable vital signs.Nurses and operators should be combined with tacit understanding,and skillfully master nursing measures of endoscopic hemostatic therapy.

关 键 词：急诊内镜 DIEULAFOY病 护理配合 

分 类 号：R472.3[医药卫生—护理学]