分析人工肝血浆置换治疗重症肝炎并发症的预防与护理方法

目的:分析人工肝血浆置换治疗重症肝炎并发症的预防与护理方法。方法:2016年8月~2018年5月,于我院行人工肝血浆置换治疗的重症肝炎患者中选取50例为研究对象,对其并发症发生情况进行分析,并制定针对性的预防与护理方法。结果:50例重症肝炎患者行人工肝血浆置换治疗后,有5例患者出现血浆过敏反应,6例患者血压下降,6例患者出现低钙血症,12例患者出现穿刺部位出血。结论:采用人工肝血浆置换治疗重症肝炎时,为了降低并发症发生率,需积极采取相应的预防与护理措施。

慢性重症肝炎低氧血症的护理及临床研究

目的 观察慢性重症肝炎病人低氧血症的情况及对预后的影响；方法 动态监测血氧饱和度、血压和呼吸的变化，检测ＡＬＴ、ＴＢ、ＲＢＣ、Ｈｂ 等，所得数据经Ｘ２ 检验；结果 慢性重症肝炎与一般肝炎相比血氧饱和度、血压、ＴＢ、ＲＢＣ 差异显著（Ｐ＜０．０５ 或＜０．００１）； 结论 血氧饱和度≤９０％ 时，病死率明显增加。

Study progress on mechanism of severe acute pancreatitis complicated with hepatic injury

Study on the action mechanism of inflammatory mediators generated by the severe acute pancreatitis （SAP） in multiple organ injury is a hotspot in the surgical field. In clinical practice, the main complicated organ dysfunctions are shock, respiratory failure, renal failure, encephalopathy, with the rate of hepatic diseases being closely next to them. The hepatic injury caused by SAP cannot only aggravate the state of pancreatitis, but also develop into hepatic failure and cause patient death, lts complicated pathogenic mechanism is an obstacle in clinical treatment. Among many pathogenic factors, the changes of vasoactive substances, participation of inflammatory mediators as well as OFR （oxygen free radical）, endotoxin, etc. may play important roles in its progression.