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Interventional therapy for splenic hyperactivity d

 
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PostWysłany: Pon 12:20, 07 Mar 2011    Temat postu: Interventional therapy for splenic hyperactivity d

Interventional therapy for hyperthyroidism in nursing spleen function


Patients should also observe whether the nausea, vomiting, irritability, cold sweats, shortness of breath and other allergic reactions. If there should be anti-allergic, anti-shock, oxygen and other first aid measures and timely treatment to prevent complications of postoperative care 4.3 4.3, I psychological care: to avoid all kinds of iatrogenic adverse stimulus, not the patient whispering in front of family members made it clear that the disease should be to establish good therapeutic atmosphere, to reduce the psychological burden of patients to obtain the cooperation of patients and their families. 4.3.2 The basis of good care: the patient back to ward, close observation of the disease, the patients right leg brake 24h, watch for the delayed reaction of iodine, the puncture site without bleeding, bleeding, hematoma, dorsal attention arterial pulse situation. Monitor changes in vital signs, urine output 1 records, such as patient oliguria, should be recorded 24h and out of fluid volume. Of longer duration, physical weakness,[link widoczny dla zalogowanych], poor appetite, were given high fever,[link widoczny dla zalogowanych], high protein, low salt, digestible diet, eat fresh vegetables, fruits, vitamin supplements, to maintain smooth stool. 4.4 Complications, prevention and treatment of 4.4. I hematoma: puncture after needle injection of local pressure dressing. The risk of blood extravasation, resulting in local hematoma; observation of patients within 24h after the local situation, will urge them not to hyperactivity, turning every 15 ~ 30min visited i times, observe the dorsalis pedis artery pulse is reduced or lost, and their skin color is pale high and low temperature; puncture the side without pain and sensory dysfunction, doctors reported abnormal in a timely manner. Life in patients with good care, to prevent fecal contamination and maintain local clean, dry, to prevent puncture fever local infection 4.4.2: Multi-day or second scan after surgery occurred in the range between 38 ~ 39.5 ℃, type was remittent fever, persistent iv2 weeks. To ynl ~ ItPra type, l, 16, No. - I spleen necrosis caused by the absorption of heat, 0 cited Ke l Peel off real extent of infarction. Timely and accurate manner to give anti-inflammatory treatment to prevent infectious complications such as splenic abscess, with a physical cooling method when the temperature drops sweating for a long time, the timely replacement of clothing, bed sheets yuan. . The amount chargeable to avoid using anti-inflammatory drugs, rehydration. To prevent excessive loss of body fluids 4.4.3 Pain: As part of splenic infarction and splenic embolization capsule tension, resulting in the left upper abdominal pain, may radiate to the left shoulder Department, within the obvious after 3d,[link widoczny dla zalogowanych], continuing gradually after 5 ~ 7d alleviate cock large individual differences, were mixed, nurses are required to timely and accurate observation of pain location, time, nature and extent. Symptomatic treatment given painkillers, sedatives and dark treatment to divert their attention. Introduce the knowledge of disease, that causes pain and the cries of relief,[link widoczny dla zalogowanych], asked the nurse to clinical test results and state reports to doctors, Lee, and called the treatment, thereby reducing the higher incidence of complications. 4.4.4 and liquefaction necrosis of splenic abscess: incidence of about l0% ~ 15%. Area increases with the embolization, the incidence increased, the majority of liquid on the f death, rare abscess. Produce necrosis due to thrombosis range is too large, difficult to absorb the necrotic tissue, abscess causes for the disinfection of catheters and embolic material is not strict, slow blood flow after bacterial infection. Mostly pneumonia bacteria, Clostridium perfringens, Staphylococcus aureus and so on. Control methods for the aseptic operating procedures, postoperative use of antibiotics 2 to 4 joint control of bacteria, can significantly lower the incidence of splenic abscess, such as Liquefied small abscess and necrosis can be treated conservatively, diameter of more than 4cnl who,[link widoczny dla zalogowanych], B-or Perspective positioning drainage. 4.4.5 left pleural effusion and pneumonia: the capsule after embolization splenic infarction due to stress caused by pleural reaction. Patients had left r abdominal pain, resulting in respiratory movement is limited, bronchial poor drainage, concurrent left pleural effusion and left lower pneumonia. A small amount of fluid may not have special treatment, 2 weeks self-limiting. Effusion were more obvious, it is desirable semi-supine or sitting position, improve the ventilation function, encourage deep breathing. Antibiotics, strengthening support for treatment, I can be completely absorbed weeks, a large quantity should be fluid out of 4.4,6 spleen: spleen capsule as tension after partial splenic embolization, CLARKE spleen, the body response to inflammation exudate and the formation of more in the 2 to 6 months after. Generally do not need special treatment, such as more fluid. 4.4.7 Percutaneous out to be pancreatitis: pancreatic artery with the wrong bolt on. Mow strip disease treatment that is recovered.


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