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急性重症胰腺炎常并发休克及多器官功能衰竭,预后险恶。手术后护理工作量大、复杂、时间长。我院自1992年12月至1994年6月收治经手术证实为出血、坏死型胰腺炎21例,20例痊愈出院,1例死亡。现将护理体会介绍如下。一、术后监护采用509型多参数心电监护仪,密切观察患者生命体征,有无器官衰竭症状。(一)保持呼吸道通畅,鼓励咳痰,协助翻身、拍背,配合超声雾化吸入,使用生理盐水、抗菌素、糜蛋白酶等药物稀释痰液,利于排痰。(二)间断低流量吸氧,根据血气酸碱分析结果,随
Acute severe pancreatitis often complicated by shock and multiple organ failure, prognosis dangerous. Nursing workload after surgery, complex, long time. Our hospital from December 1992 to June 1994 admitted to surgery confirmed as bleeding, necrotic pancreatitis in 21 cases, 20 patients were discharged, 1 patient died. The nursing experience is introduced below. First, the postoperative care using 509 multi-parameter ECG monitor, close observation of patients with vital signs, with or without organ failure symptoms. (A) keep the airway open, encourage sputum, to help stand up, beat back, with ultrasonic atomization inhalation, the use of saline, antibiotics, chymotrypsin and other drugs to dilute the sputum, conducive to phlegm. (B) intermittent low flow oxygen, according to the results of blood gas acid analysis, with