危重新生儿合并上消化道出血的止血效果观察及护理

Hemostasis observation and nursing for critical neonates with upper gastrointes-tinal tract hemorrhage

目的:探讨危重新生儿合并上消化道出血的止血方法及护理。方法:把住院的90例合并上消化道出血的危重新生儿随机分为治疗组和对照组。治疗组在对照组常规治疗的基础上先用1%碳酸氢钠洗胃后,给予立止血0.5KU溶于注射用水5～10ml中经胃管注入,并给予综合性护理措施。结果:治疗组的止血有效率高于对照组(P<0.01),平均止血时间也短于对照组(P<0.01)。结论:采用碳酸氢钠联合立止血治疗新生儿上消化道出血效果显著。同时采取综合性护理措施,科学严密地观察病情是提高危重新生儿合并上消化道出血临床治愈成功率的关键。

Objective:To explore the hemostasis and nursing for critical neonates with upper gastrointestinal tract hemorrhage.Methods:ninety cases neonates with upper gastrointestinal tract hemorrhage were randomized to either therapy group or control group.Besides conventional treatments and all-around nursing,the therapy group were administered 0.5KU batroxobin(dissolved in 5~10 ml water for injection)by gastric canal after washing with 1% sodium bicarbonate.Results:The hemostasis effect ratio of the therapy group was much higher than that of the control group(P<0.01).And compared with the control group,the awerage hemostasis time was shorter(P<0.01).Conclusion:A combination of sodium bicarbonate and batroxobin against upper gastrointestinal tract hemorrhage in neonates is an effective method.All-around nursing and scientific,close observation of the neonates' condition are the key to increasing the therapy efficiency for gastrointestinal tract hemorrhage in critical neonates.