肝硬化合并上消化道大出血的急诊护理效果观察

目的：就肝硬化合并上消化遭史出血的急诊护理进行探讨。方法：选取2008年8月-2013年8月在我院急诊科收治的30例肝硬化合并上消化道大出血患者，对其行急诊护理。结果：30例肝硬化合并上消化道大出血患者经过急诊护理治疗之后，显效26例（87％），有效3例（10％），无效1例（3％），总有效率97％．没有1例患者出现严重的并发癌，如肝性脑病、休克等，临床效果较好。结论：对于肝硬化合并上消化道大出血患者而言，其急诊护理的关键就在于对患者的病情变化进行密切观察、快速补液、有效的止血措施。

objective： the hepatocirrhosis with massive hemorrhage of upper gastrointestinal tract of emergency care were discussed. Methods： select August 2008 - August 2013 in our hospital emergency department were 30 patients with hepatocirrhosis with massive hemorrhage o{ upper gastrointestinal tract,uneffec- tive emergency care. Results： 30 cases of patients with hepatocirrhosis with massive hemorrhage of upper gastrointestinal tract after emergency care, 26 cases were markedly improved （ 87 % ）, effective in 3 patients （ 100% ）, invalid in 1 case （3% ）, the total effective rate was 97 %, no 1 patients severe complications, such as he- patic encephalopathY, shock, clinical effect is better. Conclusion ： for patients with hepatocirrhosis with massive hemorrhage of upper gastrointestinal tract, the emer- gency nursing is the key to closely observe the patient change, rapid rehydration, effective hemostatie measures.