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消化道出血是重症肝炎最常见的并发症。出血原因是:凝血因子缺乏、消化道粘膜糜烂及门静脉压增高。一旦发生消化道出血,预后极差,死亡率极高。但重症肝炎病人在消化道出血前均有一些先兆,如能早期发现这些先兆,及时处理,控制住出血,无疑对降低死亡率会有一定效果。我院于1982～1984年共收治重症肝炎82例,其中34例并发了消化道出血。本文就重型肝炎病人消化道出血前的临床观察及护理问题,谈些认识和体会。
Gastrointestinal bleeding is the most common complication of severe hepatitis. Causes of bleeding are: lack of clotting factors, gastrointestinal mucosal erosion and increased portal pressure. In the event of gastrointestinal bleeding, poor prognosis, high mortality. However, patients with severe hepatitis before hemorrhage in the gastrointestinal tract have some aura, such as early detection of these signs, timely treatment, control of bleeding, no doubt reduce mortality will have some effect. Our hospital in 1982 to 1984 were treated 82 cases of severe hepatitis, of which 34 cases complicated by gastrointestinal bleeding. This article on severe hepatitis patients before gastrointestinal bleeding clinical observation and nursing problems, talked about some understanding and experience.