nlwxpearo
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 Posted: Wed 9:31, 23 Mar 2011 Post subject: Of necrotizing pancreatitis surgical procedures an |
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Of necrotizing pancreatitis surgical procedures and postoperative care
Gland, abdominal residual disease re-infection led to relapse. 3-3 nutrition support care nutrition support is the treatment of hemorrhagic necrotizing pancreatitis in one of the important measures. Hemorrhagic and necrotic pancreatitis not only because of digestive dysfunction, oral intake, stop, and because the inflammatory reaction, increased catabolism, is in negative nitrogen balance, serious malnutrition. Therefore, a reasonable nutritional support, is to save lives and improve the efficacy in patients with the key. Implementation of this group of patients we have the nutritional support therapy in three stages, namely,[link widoczny dla zalogowanych], enteral nutrition parenteral nutrition for a one oral nutrition. During parenteral nutrition should be gradual, according to the patient's tolerance dose and speed of adjustment of nutritional supplements. After 2 weeks of implementation, then the transition to enteral nutrition, which improve the patients immune system, to ensure that the necessary nutrients to promote the recovery of bowel function and prevent multiple organ failure, and promote wound healing has an extremely important role. Enteral nutrition implementation of 15d ~ 30d, and then transition to the stage of oral nutrition, oral nutrition should limit fatty foods. 3.4 Prevention of pancreatic infection after poor drainage, abdominal accumulation of pancreatic juice and tissue fluid can cause retroperitoneal abscess. Vascular erosion complicated by hemorrhage. Peritoneal drainage fluid was purulent, the available three-cavity tube or double lumen tube lavage, timely cleaning septic callus tube, replace the 1 day drainage bottles / bags, to prevent retrograde infection. 3.5 Psychological care in patients with hemorrhagic necrotizing pancreatitis in critical condition, patients and their families are feeling extreme fear, mental imbalance. Therefore, patients and their families to be warm and thoughtful, patient and meticulous, to stabilize their emotions and reduce their fear, establish confidence in overcoming the disease, to actively cooperate with the treatment and care, to improve the outcome. Because the disease and gallstones, the high-fat diet, alcohol consumption, mood swings, trauma is closely related to overeating and so often the case in the disease. Therefore, patients and their families for discharge guidance, Zhu Huanzhe alcohol, do not eat high-fat diet, do not eat too much, to avoid relapse, adequate rest, avoid fatigue, mood swings and tension, abdominal pain, abdominal distension should prompt treatment. About the author: Zhang Aggression, female, 46 years old, secondary education,[link widoczny dla zalogowanych], graduated from the school district health Zhumadian, charge nurse. E-mail: zhangliufang. 2008 @ 163. com (Received 13 :2009-01-20) cardiovascular disease risk assessment model for clinical application Hanfang Qi (the First Hospital of Xi'an, Xi'an 710003) With the environment, lifestyle and diet changes, cardiovascular disease incidence is also rising 【l1, particularly coronary heart disease, myocardial infarction,[link widoczny dla zalogowanych], hypertension and so on. Most of these diseases in critical condition, made of high health care demands, how to improve quality of care and reduce the incidence of health problems, we need to address the problem. Our department in February 2005 implemented a disease risk assessment model, greatly improving the quality of care, are reported below. 1 Data and methods 1.1 General Information selection of patients hospitalized with heart medicine 426 cases, 287 cases were male, female 139 cases; a single disease such as arrhythmia or hypertension alone, or single coronary heart disease accounted for 1l%, while combined 2 or more diseases, accounting for 89%, of which hypertension and coronary heart disease, cardiac dysfunction, 33% of 124 cases; angina pectoris, coronary intervention, 37% were 141 patients, coronary heart disease myocardial infarction interventional procedures, 113 cases of arrhythmia were 30%; aged> 60 years 276 patients, 150 patients under the age of 60. 1.2 Methods to design their own form of disease risk assessment model (see Table 1), divided into 6 categories: age,[link widoczny dla zalogowanych], blood pressure, heart failure, arrhythmia, coronary heart disease, special treatment (including surgical intervention). Responsibility of hospital nurses in the patients given within 24h illness estimates to calculate scores, merging 2 or more items, scores, respectively, the cumulative sum of the scores, get the final score. Scores were divided into three categories, I class ≤ 10 points, Ⅱ class of 11 to 19 minutes, Ⅲ class of ≥ 20 points. Special treatment (including intervention) are in the immediate postoperative score according to type Ⅲ, take appropriate care measures. 2 results of the implementation of assessment in our hospital 426 patients, l category accounted for 89 cases score 21%; Ⅱ class accounted for 205 cases score 48%; II1 class score of 31% of 132 cases. The lower the score, indicating that the illness is more light, can be put into a relatively small and the time nurses; score higher, indicating a serious condition and poor prognosis. Comprehensive Care 3.1 3 points score ≤ 10 were relatively stable condition or performance of a single disease, your doctor mostly grade Ⅲ care of such patients nurses can be visited every 1h ~ 2h 1, to understand their disease status, psychological primary care needs and problems,[link widoczny dla zalogowanych], this disease by drinking from 412 Medical Forum 2009 Volume 13 May HEAD
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