摘要
目的:探讨鼻咽癌并发鼻咽部出血患者的急救及护理方法。方法:对30例鼻咽癌并发鼻咽部出血患者进行心理疏导,密切观察病情,及早发现出血情况。大出血时,及时吸净咽喉部积血,尽快协助进行鼻咽部填塞止血,迅速建立静脉输液通道进行抗休克治疗。结果:本组3例因出血过多死亡;1例在填塞止血后主动要求出院;26例止血后未发生再次出血,经观察后出院。结论:对鼻咽癌并发鼻咽部出血患者进行急救护理时,以维护呼吸道通畅为重点,保持良好的静脉输液通道,积极行抗休克治疗,可提高急救成功率。
Objective： To explore the emergent treatment and nursing care for nasopharyngeal bleeding in the patients with nasopharyngeal cancer. Methods： Psychological counseling, close observation on patient＇s conditions was applied to 30 patients to find bleeding timely, and sucking blood in the throat, stopping bleeding and rapid establishment of intravenous infusion channel for anti -shock therapy were adopted when massive hemorrhage occurred. Results： Three patients died of excessive bleeding; one was discharged from hospital when his bleeding was stopped by tamping. No bleeding reoccurred in the other 26 patients. Conclusion： Emergent treatment and nursing care should focus on maintaining respiratory tract unob- structed and fine channel for intravenous infusion and anti - sbock tberapy.
关键词
鼻咽癌
出血
急救
护理
Nasopharyngeal cancer
Bleeding
Emergent treatment
Nursing
