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asbryobvrz · Wysłany: Sob 14:28, 26 Mar 2011

Gastric perforation caused by foreign body in stomach Nursing

Conservative medical treatment and were discharged after intensive care, without a routine surgery. Conclusion stomach gastric foreign body Removal of foreign body wear Kong Jingxiao underwent endoscopic conservative treatment, while patients with intensive care, rehabilitation has an important role in the disease. Key words Xiao conservative treatment of gastric perforation foreign body care 【Key Words】 R256.22 Document code】【A】【Article ID 1674-0742 (2009) 03 (c) -0126 - 01 in our hospital June 2004 carried out by endoscopy from drug addicts under the metallic foreign bodies in upper digestive tract removed treatment. Our department in June 2004 to May 2008 a total of 8 patients treated in patients with gastric perforation caused by foreign bodies in the stomach, the 8 patients with treatment and care are carefully cured and discharged. Nursing now reported as follows. Clinical data 1 1.1 General Information The group of 8 patients were young male drug users, in order to avoid detention swallow wire, copper wire and other metal foreign bodies were found under dry metallic foreign body endoscopy through the stomach wall, the patients and their families strong request and sign your peril after the endoscopic removal of metal foreign body. 8 patients out foreign body in the X-ray examination prompted by the free gas below the diaphragm, see (small) and confirmed by the observation of the line hospital conservative treatment (fasting, gastrointestinal decompression, conventional drug treatment) cured. 1.2 Treatment and outcome of patients admitted to hospital immediately after the fast and continuous decompression given conventional therapy, 24 ~ 72h after the chest pain disappeared after the perspective of free gas below the diaphragm have been absorbed, with no transfer surgery surgery treatment. 2 2.1 General Nursing Care to give semi-supine position to reduce the patient's abdominal pain and to reduce the absorption of toxic substances. 2.2 Nursing Zhu Huanzhe fast food, forbidden to drink. Abdominal pain, bloating can be pulled out after the disappearance of a gastric tube into the liquid diet, pay attention to Eat small meals, fasting spicy food irritation and flatulence. Oral care in patients with indwelling stomach tube 2.3 should be carried out with saline every day oral care, sooner or later, the 1st, in order to maintain oral hygiene, the prevention of oral infections and 171 observe the situation cavity mucosa. 2.4 Observation of disease (1) close observation of vital signs, regular measurement of blood pressure, pulse, respiration, body temperature and make a record,[link widoczny dla zalogowanych], inform your doctor promptly abnormal processing; (2) close observation of abdominal conditions, patients often ask whether the abdominal pain, distention, check whether patients with whole abdominal tenderness, rebound tenderness and muscle tension,[link widoczny dla zalogowanych], there surgical consultation in a timely manner requested relevant departments; (3) to give continuous gastrointestinal decompression, time out of the stomach gas and fluid volume, and timely disposal drainage of fluid, reduce the leakage of gastric contents, reduce bloating, is conducive to the healing of perforation and peritonitis in decline, with 126 Chinese and foreign medical CHINAFOREIGNMEDICALTREATMENT observe the fluid drainage when the character,[link widoczny dla zalogowanych], volume and color, always check the validity of attraction, if blocking the use of saline irrigation, drainage tube to maintain patency; (4) the establishment of intravenous infusion channel, giving a large number of acid treatment and fluid therapy to maintain water and electrolyte and acid-base balance; (5) timely use of antibiotics to control infection, (6) routine preparation before surgery to do the work,[link widoczny dla zalogowanych], ready to surgery. 3 Note that the group of 8 health care patients were drug addicts,[link widoczny dla zalogowanych], including 2 cases of HIV antibody positive. In the course of medical treatment and care should be strictly rules to make self-protection, while also respecting the patients, protect patient privacy. 【Date】 2008-12-26 Received