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混合痔术后出血的护理观察 Microsoft PowerPoint 演示文稿课件

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混合痔术后出血护理观察MicrosoftPowerPoint演示 混合痔术后出血 MicrosoftPowerPoint演示 痔术后出血的护理观察 混合痔术后护理ppt PowerPoint
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With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 痔术后出血的护理观察痔术后出血的护理观察 昆明市中院医院 云南中医学院第三附属医院 肛肠科 贾钰芳 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 在医学上,血液 子心脏、血管腔 流出,称为 ------出血 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society (一)出血的分类 内出血——流出的血液逸入体腔或组织内 外出血——血液流出体外 按血液逸出的机制——破裂 性出血和漏出性出血。 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society (二)出血对机体的影响 漏出性出血: • 过程一般比较缓慢,出血量较少; • 但如漏出性出血广泛时,可因一时的多量出血 导致出血性休克。如肝硬变时因门静脉高压发 生的广泛性胃肠粘膜漏出性出血。 破裂性出血: • 出血过程迅速,如在短时间内丧失循环血量的 20%——25%时,即可发生出血性休克。 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 1.大便潜血阳性,出血量5ml/日 。 2. 柏油样便,出血量60ml/日。 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 4. 全身症状: • 出血量500ml,可出现全身症状如头晕,出汗,乏力 ,心悸等. • 短时间内出血量1000ml或多于全身血量的20% 时,可出现循环衰竭表现如SBP120次/分。 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 5. 血液学检查 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 6. 休克指数 休克指数=脉搏/收缩压(大于或等于1提示有休克 存在,数字越大休克越严重) 正常值为0.58,表示血容量正常; With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 7. 血尿素氮——如48h内出血1000ml,BUN可为正常 的2倍。 8. 体位试验——须在输液途径建立后进行。 9. 中心静脉压测定——持续3.5mmHg或波动不稳, 应考虑有活动性出血或液体不足。 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 直肠肛门周围血供解剖 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 失血性休克 患者出 现心慌 、脉快 、面色 苍白、 血压下 降 出血量 可能在 800- 1000ml 流入血量的增多 主诉有 腹坠胀 肛门灼 热欲便 排出大 量血液 、血块 向内出血又称隐形 出血 早期发现有困 难 起初患者自我 感觉不明显 发展 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 四、出血原因分析 原发性出血——通常在手术24h内发 生的出血 继发性出血——手术24h以后发生的 出血称继发性出血,其中包含各种病理 因素导致的出血 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 少量出 血 五、处 理 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 忙而不乱 有条不紊 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 七、 应急 预案 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 正确的手术操作 妥善处理基础疾病 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 心理护理 • 使之配合治疗 • 减少护患矛盾 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 结束语 我们都希望患者早日康复顺利出院 ,可是我们再怎么小心谨慎难免还 是会有出血的病例,但是只要发现 及时处置得当,我们就可以减轻出 血对患者身心造成的影响。 With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society 感谢聆听!
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