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肝硬化患者上消化道出血的时间分析与护理
摘 要
目的：探讨肝硬化患者上消化道出血的时间规律，从而制定相应的护理对策，为预防和治疗提供依据。 方法：本研究根据住院期间的医疗护理病历以调查表的方法对190例肝硬化患者发生418例次上消化道出血时间进行了回顾性调查。发现肝硬化患者发生上消化道出血的时间规律，以便在以后的临床工作中，为临床护理提供参考，加强对出血高危人群的观察和护理。 结果：24小时中夜间5＿6时为出血第一高峰，晚间16＿17时为出血第二高峰；418例次出血中，185例次出血发生在夜间（0＿7时），74例次出血发生在日间（8＿15时），159例次出血发生在晚间（16＿23时），3个时间段出血例次比较，夜间最高，晚间次之，日间最低，差异有显著意义（P＜0.01）；190例肝硬化上消化道出血患者中，因出血死亡34例，死亡率17.9%，死亡数在各时间段的分布是夜间18例，晚间14例，日间2例，3个时间段死亡发生率比较，夜间最高、晚间次之、日间最低，差异有显著性意义（P＜0.05）。 结论：研究结果发现肝硬化患者发生上消化道出血的时间及死亡时间有规律性变化。 据此提出相应的护理对策：加强出血高发时间段的病情观察；加强出血高危人群的防护措施；减少出血发生率，提高抢救成功率和降低出血死亡率。
关键词：肝硬化 上消化道出血 时间 护理
第1个回答 2008-04-26
Upper gastrointestinal bleeding in patients with cirrhosis of the time and care
Abstract
Objective: To explore the upper gastrointestinal bleeding in patients with cirrhosis of the time, so as to formulate the appropriate care measures for the prevention and treatment provide the basis. Method: The study based on hospital records of medical care to the questionnaire method of 190 cases occurred in patients with cirrhosis of the 418 cases of upper gastrointestinal bleeding time for a retrospective investigation. Found that patients with cirrhosis at the time of gastrointestinal bleeding, so that in future clinical work, provide reference for clinical care, strengthen the hemorrhage of high-risk groups to observe and care. Results: 24 hours in the evening 5_6 bleeding at the first peak of the evening 16_17 bleeding at the second peak of 418 cases of hemorrhage, 185 cases of hemorrhage occurred in the evening (0_7), 74 cases of bleeding occurred during the day ( 8_15), 159 cases of hemorrhage occurred in the evening (16_23), three times the time of the bleeding, the highest night, followed by the evening, the day minimum, the difference was significant (P <0.01); 190 cases of cirrhosis Upper gastrointestinal bleeding patients, 34 cases of death due to bleeding, the mortality rate 17.9 percent, died a few hours in the evening is the distribution of the 18 cases, 14 cases of night and day two cases, three times the rate of deaths occur, the highest night , Followed by the evening, the day minimum, the difference was significant (P <0.05). Conclusion: The study found that patients with cirrhosis of the upper gastrointestinal bleeding occurred time and time of death are changed regularly. Accordingly accordingly nursing strategy: strengthening high incidence of bleeding time observation of the condition; bleeding high-risk groups to strengthen the protective measures to reduce the incidence of bleeding, the bleeding increased survival rate and lower mortality.
Key words: cirrhosis upper gastrointestinal bleeding time care
Abstract
Objective: To explore the upper gastrointestinal bleeding in patients with cirrhosis of the time, so as to formulate the appropriate care measures for the prevention and treatment provide the basis. Method: The study based on hospital records of medical care to the questionnaire method of 190 cases occurred in patients with cirrhosis of the 418 cases of upper gastrointestinal bleeding time for a retrospective investigation. Found that patients with cirrhosis at the time of gastrointestinal bleeding, so that in future clinical work, provide reference for clinical care, strengthen the hemorrhage of high-risk groups to observe and care. Results: 24 hours in the evening 5_6 bleeding at the first peak of the evening 16_17 bleeding at the second peak of 418 cases of hemorrhage, 185 cases of hemorrhage occurred in the evening (0_7), 74 cases of bleeding occurred during the day ( 8_15), 159 cases of hemorrhage occurred in the evening (16_23), three times the time of the bleeding, the highest night, followed by the evening, the day minimum, the difference was significant (P <0.01); 190 cases of cirrhosis Upper gastrointestinal bleeding patients, 34 cases of death due to bleeding, the mortality rate 17.9 percent, died a few hours in the evening is the distribution of the 18 cases, 14 cases of night and day two cases, three times the rate of deaths occur, the highest night , Followed by the evening, the day minimum, the difference was significant (P <0.05). Conclusion: The study found that patients with cirrhosis of the upper gastrointestinal bleeding occurred time and time of death are changed regularly. Accordingly accordingly nursing strategy: strengthening high incidence of bleeding time observation of the condition; bleeding high-risk groups to strengthen the protective measures to reduce the incidence of bleeding, the bleeding increased survival rate and lower mortality.
Key words: cirrhosis upper gastrointestinal bleeding time care
第2个回答 2008-04-26
Liver cirrhosis patient time that digestive tract bleeds analyze and attend to
Summary
Purpose: Probe into the time law that liver cirrhosis patient's upper digestive tract bleeds, thus make the corresponding nursing countermeasure, offer basis for preventing and treating. Method: This research has taken place to 190 cases of liver cirrhosis patient for upper bleeding time of digesti Result: 5 of night in 24 hours _ 6 first peak of bleeding in o'clock, 16 night _ 17 second peak of bleeding in o'clock; In 418 each bleeding, 185 each bleeding takes place at the night (0 _ At 7 o'clock), 74 each bleeding takes place in the daytime (8 _ At 15 o'clock), 159 each bleeding takes place at the night (16 _ At 23o'clock)，Bleeding example comparison once of 3 time slots, the highest at night, take second place at night, it is the lowest in the daytime, the difference has prominent meaning (P<0.01); 190 liver cirrhosis among the patient, bleeding of digestive tract, because bleeding 34 of death, 17.9% of mortality,The distribution that the death counts in every time slots is 18 of night, 14 of night, 2 in the daytime, it is compared that the incidence dies in 3 time slots, it is the highest, take second place at night, Talk about: Result of study find time and death time that digestive tract bleed have regularity changes at liver cirrhosis patient take place. Put forward the corresponding nursing countermeasure in view of the above: Strengthen and ble本回答被提问者采纳
Summary
Purpose: Probe into the time law that liver cirrhosis patient's upper digestive tract bleeds, thus make the corresponding nursing countermeasure, offer basis for preventing and treating. Method: This research has taken place to 190 cases of liver cirrhosis patient for upper bleeding time of digesti Result: 5 of night in 24 hours _ 6 first peak of bleeding in o'clock, 16 night _ 17 second peak of bleeding in o'clock; In 418 each bleeding, 185 each bleeding takes place at the night (0 _ At 7 o'clock), 74 each bleeding takes place in the daytime (8 _ At 15 o'clock), 159 each bleeding takes place at the night (16 _ At 23o'clock)，Bleeding example comparison once of 3 time slots, the highest at night, take second place at night, it is the lowest in the daytime, the difference has prominent meaning (P<0.01); 190 liver cirrhosis among the patient, bleeding of digestive tract, because bleeding 34 of death, 17.9% of mortality,The distribution that the death counts in every time slots is 18 of night, 14 of night, 2 in the daytime, it is compared that the incidence dies in 3 time slots, it is the highest, take second place at night, Talk about: Result of study find time and death time that digestive tract bleed have regularity changes at liver cirrhosis patient take place. Put forward the corresponding nursing countermeasure in view of the above: Strengthen and ble本回答被提问者采纳
第3个回答 2008-04-26
我的英语还不错行吗？ Upper gastrointestinal bleeding in patients with cirrhosis of the time and care
Abstract
Objective: To explore the upper gastrointestinal bleeding in patients with cirrhosis of the time, so as to formulate the appropriate care measures for the prevention and treatment provide the basis. Method: The study based on hospital records of medical care to the questionnaire method of 190 cases occurred in patients with cirrhosis of the 418 cases of upper gastrointestinal bleeding time for a retrospective investigation. Found that patients with cirrhosis at the time of gastrointestinal bleeding, so that in future clinical work, provide reference for clinical care, strengthen the hemorrhage of high-risk groups to observe and care. Results: 24 hours in the evening 5_6 bleeding at the first peak of the evening 16_17 bleeding at the second peak of 418 cases of hemorrhage, 185 cases of hemorrhage occurred in the evening (0_7), 74 cases of bleeding occurred during the day ( 8_15), 159 cases of hemorrhage occurred in the evening (16_23), three times the time of the bleeding, the highest night, followed by the evening, the day minimum, the difference was significant (P <0.01); 190 cases of cirrhosis Upper gastrointestinal bleeding patients, 34 cases of death due to bleeding, the mortality rate 17.9 percent, died a few hours in the evening is the distribution of the 18 cases, 14 cases of night and day two cases, three times the rate of deaths occur, the highest night , Followed by the evening, the day minimum, the difference was significant (P <0.05). Conclusion: The study found that patients with cirrhosis of the upper gastrointestinal bleeding occurred time and time of death are changed regularly. Accordingly accordingly nursing strate gy: strengthening high incidence of bleeding time observation of the condition; bleeding high-risk groups to strengthen the protective measures to reduce the incidence of bleeding, the bleeding increased survival rate and lower mortality.
Key words: cirrhosis upper gastrointestinal bleeding time care
Abstract
Objective: To explore the upper gastrointestinal bleeding in patients with cirrhosis of the time, so as to formulate the appropriate care measures for the prevention and treatment provide the basis. Method: The study based on hospital records of medical care to the questionnaire method of 190 cases occurred in patients with cirrhosis of the 418 cases of upper gastrointestinal bleeding time for a retrospective investigation. Found that patients with cirrhosis at the time of gastrointestinal bleeding, so that in future clinical work, provide reference for clinical care, strengthen the hemorrhage of high-risk groups to observe and care. Results: 24 hours in the evening 5_6 bleeding at the first peak of the evening 16_17 bleeding at the second peak of 418 cases of hemorrhage, 185 cases of hemorrhage occurred in the evening (0_7), 74 cases of bleeding occurred during the day ( 8_15), 159 cases of hemorrhage occurred in the evening (16_23), three times the time of the bleeding, the highest night, followed by the evening, the day minimum, the difference was significant (P <0.01); 190 cases of cirrhosis Upper gastrointestinal bleeding patients, 34 cases of death due to bleeding, the mortality rate 17.9 percent, died a few hours in the evening is the distribution of the 18 cases, 14 cases of night and day two cases, three times the rate of deaths occur, the highest night , Followed by the evening, the day minimum, the difference was significant (P <0.05). Conclusion: The study found that patients with cirrhosis of the upper gastrointestinal bleeding occurred time and time of death are changed regularly. Accordingly accordingly nursing strate gy: strengthening high incidence of bleeding time observation of the condition; bleeding high-risk groups to strengthen the protective measures to reduce the incidence of bleeding, the bleeding increased survival rate and lower mortality.
Key words: cirrhosis upper gastrointestinal bleeding time care
第4个回答 2008-04-26
太长~
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