Dieulafoy病的急救治疗与护理

Emergent treatment and nursing care of patients with Dieulafoy lesion

目的总结Dieulafoy病的急救治疗和护理体会，为临床护理提供依据。方法对36例Dieulafoy病的临床资料进行回顾性分析，总结其护理措施。结果36例患者中24例患者首次内镜下止血治疗成功，5例内镜下止血效果不佳行外科手术，1例直接外科手术治疗，6例无活动性出血患者经内科保守治疗未发生再出血，36例患者均康复出院。结论心理护理、病情观察和及时有效的急救，配合内镜治疗护理、合理饮食和健康指导，是Dieulafoy病患者顺利康复的主要护理措施。

Objective To summarize nursing strategy after endoscopic therapy of Dieulafoy lesion, in order to provide data for nursing care of Dieulafoy lesion. Methods Clinical data of 36 patients with Dieulafoy lesion were retrospectively analyzed. Results Gastrointestinal bleeding of 24 patients stopped after endoscopic treatment. 5 patients underwent surgical treatment clue to unsuccessful endoscopic treatment. 1 patient received surgical treatment directly and 6 patients without active hemorrhage did not bleed after conservative treatment. Conclusions The measures to ensure curative effect includ the following factors： mental numing, observation of patients＇ condition, effective emergent treatment, nursing care during endoscopic treatment, rational diet and healthy education.