Nursing experience of a patient with primary liver cancer complicated with upper gastrointestinal hemorrhage

Jiaji LI; Ye LI; Ling TANG

doi:10.12209/CAIM202308140003

您当前的位置：

首页 >

文章列表页 >

Nursing experience of a patient with primary liver cancer complicated with upper gastrointestinal hemorrhage

更新时间：2023-08-22

- Nursing experience of a patient with primary liver cancer complicated with upper gastrointestinal hemorrhage
- Clinical Archives of Integrative Medicine (2023)
- 作者机构：
  
  北京中医药大学东方医院护理部，北京 100078
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202308140003
  CLC：
- Published Online：22 August 2023，
  
  Received：14 August 2023，
扫描看全文
Jiaji LI, Ye LI, Ling TANG. Nursing experience of a patient with primary liver cancer complicated with upper gastrointestinal hemorrhage. [DB/OL].Clinical Archives of Integrative Medicine (2023)
DOI：

Jiaji LI, Ye LI, Ling TANG. Nursing experience of a patient with primary liver cancer complicated with upper gastrointestinal hemorrhage. [DB/OL].Clinical Archives of Integrative Medicine (2023) DOI： 10.12209/CAIM202308140003.

摘要

本文总结1例肝硬化合并急性上消化道出血的护理经验。通过辩证施护，给予患者服药护理、出入量管理、心理护理及中医特色技术治疗，开展针对性个体化护理措施，运用移情、取情等方法调节患者的情绪，取得了较为显著的临床效果。

Abstract

This article summarized the nursing experience of a case of liver cirrhosis complicated with acute upper gastrointestinal bleeding. Through dialectical nursing， patients were given medication nursing， intake and output management， psychological nursing and traditional Chinese medicine characteristic technology treatment， targeted and individual nursing measures were carried out， and empathy， emotion and other methods were used to regulate patients' emotions， and significant clinical effects were achieved.

关键词

原发性肝癌上消化道出血肝硬化中医护理

Keywords

primary liver cancerupper gastrointestinal bleedingliver cirrhosisTraditional Chinese Medicine nursing

references

中华医学会肝病学分会. 肝硬化诊治指南［J］. 实用肝脏病杂志， 2019， 22（6）： 770-786.

Chinese Society of Hepatology. Guidelines for diagnosis and treatment of liver cirrhosis［J］. J Pract Hepatol， 2019， 22（6）： 770-786.（in Chinese）

SONG J E， KIM B S. Endoscopic therapy and radiologic intervention of acute gastroesophageal variceal bleeding［J］. Clin Endosc， 2019， 52（5）： 407-415.

杨连粤，白雪莉. 肝硬化门静脉高压症食管、胃底静脉曲张破裂出血诊治专家共识（2019版）［J］. 中国实用外科杂志， 2019， 39（12）： 1241-1247.

YANG L Y， BAI X L. Expert consensus on diagnosis and treatment of esophageal and gastric varices bleeding due to cirrhosis and portal hypertension （2019 edition）［J］. Chin J Pract Surg， 2019， 39（12）： 1241-1247.（in Chinese）

程留芳，贾继东，徐小元，等. 肝硬化门静脉高压食管胃静脉曲张出血的防治共识（2008，杭州）［J］. 内科理论与实践， 2009， 4（2）： 152-158.

CHENG L F， JIA J D， XU X Y， et al. Consensus on prevention and treatment of esophageal and gastric variceal bleeding due to portal hypertension in liver cirrhosis （Hangzhou， 2008）［J］. J Intern Med Concepts Pract， 2009， 4（2）： 152-158.（in Chinese）

BANGARU S， BENHAMMOU J N， TABIBIAN J H. Noninvasive scores for the prediction of esophageal varices and risk stratification in patients with cirrhosis［J］. World J Hepatol， 2020， 12（11）： 908-918.

ELSEBAEY M A， TAWFIK M A， EZZAT S， et al. Endoscopic injection sclerotherapy versus N-Butyl-2 Cyanoacrylate injection in the management of actively bleeding esophageal varices： a randomized controlled trial［J］. BMC Gastroenterol， 2019， 19（1）： 23.

SAHIN A， ARTAS H， TUNC N， et al. Hematological indices in portal hypertension： cirrhosis versus noncirrhotic portal hypertension［J］. J Clin Med， 2018， 7（8）： 196.

AUGUSTIN S， PONS M， MAURICE J B， et al. Expanding the Baveno VI criteria for the screening of varices in patients with compensated advanced chronic liver disease［J］. Hepatology， 2017， 66（6）： 1980-1988.

DE FRANCHIS R， FACULTY B V. Expanding consensus in portal hypertension： report of the Baveno VI Consensus Workshop： Stratifying risk and individualizing care for portal hypertension［J］. J Hepatol， 2015， 63（3）： 743-752.

PETRISOR A， STANESCU A M A， PAPACOCEA I R， et al. Non-invasive laboratory， imaging and elastography markers in predicting varices with high risk of bleeding in cirrhotic patients［J］. Rom J Intern Med， 2021， 59（2）： 194-200.

HU X， HUANG X J， HOU J H， et al. Diagnostic accuracy of spleen stiffness to evaluate portal hypertension and esophageal varices in chronic liver disease： a systematic review and meta-analysis［J］. Eur Radiol， 2021， 31（4）： 2392-2404.

XU X Z， JIN Y， LIN Y Q， et al. Multimodal ultrasound model based on the left gastric vein in B-viral cirrhosis： noninvasive prediction of esophageal varices［J］. Clin Transl Gastroenterol， 2020， 11（11）： e00262.

HUSSEIN M， ALZOUBAIDI D， LOPEZ M F， et al. Hemostatic spray powder TC-325 in the primary endoscopic treatment of peptic ulcer-related bleeding： multicenter international registry［J］. Endoscopy， 2021， 53（1）： 36-43.

MARTINS B C， ABNADER MACHADO A， SCOMPARIN R C， et al. TC-325 hemostatic powder in the management of upper gastrointestinal malignant bleeding： a randomized controlled trial［J］. Endosc Int Open， 2022， 10（10）： E1350-E1357.

WANG N J， CHAI N L， LI L S， et al. Comparison of endoscopic radiofrequency ablation and argon plasma coagulation in patients with gastric low-grade intraepithelial neoplasia： a large-scale retrospective study［J］. Can J Gastroenterol Hepatol， 2022， 2022： 2349940.

DIAS E， MARQUES M， SANTOS-ANTUNES J， et al. Radiofrequency ablation for esophageal angiectasias and barrett’s esophagus with underlying varices［J］. Am J Gastroenterol， 2022， 117（4）： 535.

MATSUI T， KOBARA H， NISHIYAMA N， et al. Comparison of purse-string suture versus over-the-scope clip for gastric endoscopic full-thickness closure： traction and leak pressure testing in ex vivo porcine model［J］. BMC Surg， 2023， 23（1）： 20.

MEIER B， WANNHOFF A， DENZER U， et al. Over-the-scope-clips versus standard treatment in high-risk patients with acute non-variceal upper gastrointestinal bleeding： a randomised controlled trial （STING-2）［J］. Gut， 2022， 71（7）： 1251-1258.

乔永生. 消化内镜止血术在难治性急性非静脉曲张上消化道出血的应用分析［J］. 健康大视野， 2020，（14）： 215.

QIAO Y S. Endoscopic hemostasis in the treatment of refractory acute non-variceal upper gastrointestinal bleeding ［J］. Health Perspectives， 2020，（14）： 215.

马豫茜，李国华，杜国平. 消化性溃疡并出血患者内镜下OTSC止血效果分析［J］. 世界最新医学信息文摘（连续型电子期刊）， 2020， 20（97）：刊》2020年20卷97期168-刊》2020年20卷97期169.

杜永安. 内镜下OTSC金属夹在急性非静脉曲张性上消化道出血治疗中的应用研究［J］. 基层医学论坛， 2020， 24（25）： 3596-3597.

DU Y A. Study on the application of OTSC metal clip under endoscope in the treatment of acute non-variceal upper gastrointestinal bleeding［J］. Med Forum， 2020， 24（25）： 3596-3597.（in Chinese）

CHAN S， PITTAYANON R， WANG H P， et al. Use of over-the-scope clip （OTSC） versus standard therapy for the prevention of rebleeding in large peptic ulcers （size ≥1.5 Cm）： an open-labelled， multicentre international randomised controlled trial［J］. Gut， 2023， 72（4）： 638-643.

更多指标>

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing experience of a patient with alcoholic liver cirrhosis complicated with erysipelas infection treated with traditional Chinese medicine collapse stains combined with auricular point pressure pills

Nursing experience of external application of Traditional Chinese Medicine in the treatment of a patient with liver cirrhosis complicated by lower limb erysipelas

Nursing of a patient with hemorrhagic stroke complicated with diarrhea

Nursing care of a case of novel coronavirus pneumonia treated with auricular point sticking and pressing combined with five-tone music therapy

Nursing care of a patient with diarrhea of spleen deficiency and dampness excess syndrome treated with traditional Chinese medicine ointment rub combined with traditional Chinese medicine hot package

Related Author

No data

Related Institution

Center of Integrated Traditional Chinese and Western Medicine， Beijing Youan Hospital CapitalMedical University

Hepatology Department， Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Department of Neurosurgery， Zhongshan Hospital of Traditional Chinese Medicine

Fever Clinic， the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

Traditional Chinese Medicine Characteristic Diagnosis and Treatment Center， the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

⁰