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目的评价双介入治疗肝硬化门脉高压合并上消化道出血围手术护理效果。方法 68例采取双介入治疗的肝硬化门脉高压合并上消化道出血患者,均实施围手术期综合护理,进一步评价护理效果。结果 68例患者均手术成功,出血症状得到完全缓解;收缩压上升>90 mm Hg(1 mm Hg=0.133 k Pa)、舒张压上升>60 mm Hg;术后患者未出现严重并发症。经血常规检查,血小板和白细胞数均显著增多。进行为期6个月的随访工作,68例患者手术预后效果良好,无病死者,无再出血者。结论针对采取双介入治疗的肝硬化门脉高压合并上消化道出血患者,实施围手术期综合护理效果显著,能够改善患者手术预后效果,进一步提高生活质量,可在临床采纳及应用。
Objective To evaluate the effect of double interventional treatment on perioperative nursing of patients with cirrhosis and portal hypertension combined with upper gastrointestinal bleeding. Methods A total of 68 patients undergoing double interventional treatment of patients with cirrhosis and portal hypertension who had upper gastrointestinal bleeding were enrolled in the comprehensive perioperative nursing care to further evaluate the nursing effect. Results All the 68 patients were operated successfully and the symptoms of hemorrhage were completely relieved. The systolic blood pressure increased more than 90 mm Hg (1 mm Hg = 0.133 kPa) and the diastolic blood pressure increased more than 60 mm Hg. No serious complications occurred after operation. Routine blood tests, platelets and leukocytes were significantly increased. Follow-up for a period of 6 months, 68 patients with good prognosis, no disease, no rebleeding. Conclusions For the patients with cirrhosis and portal hypertension who underwent dual interventional therapy, the comprehensive effect of perioperative nursing care is significant, which can improve the prognosis of patients and further improve the quality of life. It can be adopted and applied clinically.