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目的探讨ICU有效的护理干预对妊娠急性脂肪肝的治疗及预后的影响。方法 2010年6月至2015年3月收治的12例妊娠急性脂肪肝肝衰竭患者的临床诊疗、护理及结局进行分析。结果 ICU护士予患者以有效的护理干预,配合医生以血浆置换或(和)血滤等积极抢救治疗,同时给予保肝、抗感染对症治疗,间断给予血浆、纤维蛋白原、凝血酶原复合物及营养支持等综合治疗,12例妊娠急性脂肪肝患者,除2例自动出院外,其余均临床治愈出院。结论 ICU护士有效的护理干预对提高妊娠急性脂肪肝患者预后有极大的帮助。
Objective To investigate the effect of ICU effective nursing intervention on the treatment and prognosis of acute fatty liver in pregnancy. Methods Clinical diagnosis, treatment and outcome of 12 patients with acute fatty liver of liver failure who were admitted from June 2010 to March 2015 were analyzed. Results ICU nurses to patients with effective nursing interventions, with the doctor to plasma exchange or (and) blood filtration and other active rescue treatment, while giving liver protection, anti-infective symptomatic treatment, intermittent plasma, fibrinogen, prothrombin complex And nutritional support and other comprehensive treatment, 12 patients with acute fatty liver of pregnancy, except 2 cases were discharged automatically, the rest were clinically cured and discharged. Conclusion ICU nurses effective nursing intervention to improve the prognosis of patients with acute fatty liver pregnancy have a great help.