子痫合并产后上消化道大出血的护理

目的总结子痫合并上消化道大出血的护理要点。方法对2例子痫合并产后上消化道出血的产妇给予扩容、抗休克、止血输血、留置胃管等抢救治疗及配合护理。结果产妇为术后应激性胃出血,经抢救处理后,12h后产妇出血停止,休克症状缓解,术后10d痊愈出院。结论子痫产妇产后合并急性上消化道出血,起病急、病情严重、病情凶险、发展迅速,应给予设专人护理,严密观察病情变化,对症处理,做好基础护理和心理护理,使产妇积极配合治疗。

Objective To summarize the nursing points for eating patients with post partum eclampsia and upper gastrointestinal bleeding. Methods Two patients with post partum eelampsia and upper gastrointestinal bleeding were treated with rescue therapies such as fluid expansion, antishock, blood transfusion and detaining of gastric tube. Proper nursing was given. Results The patients suffered from stress gastrorrhagia. Twelve hours after treatment, bleeding was stopped and shock subsided. Ten days after operation, the patients recovered from illness and were discharged. Conclusion Post partum eclampsia and upper gastrointestinal bleeding is a serious disease with sudden onset and rapid development. Nurses should observe the condition carefully and give symptomatic management. Basic nursing and psychological nursing help patients cooperate with treatments.