【Summary 】 purpose:the study greatly spits blood an effectively save of the sufferer to cure measure and nursing important point.Method:greatly spat blood a sufferer to carry on a review analysis to 45 emergency call, among them, the normal regulations method(A set) be 24, strengthen nursing method(B set)21 and the A set adopts a traditional nursing method and the B set sufferer starts cure together an A set, if the treatment effect disregard think, then give to expand an afferent medicine treatment, carried out a whole nursing in the meantime and strengthenned to greatly spit blood the sufferer’s bedside guardianship.Result:the A set be sufferer’s 4 death, 2 turn a surgical operation treatment, and the main cause of death is an asphyxiation;The B set sufferer cures effect very ideal, none example death.Conclusion:the Suo afferent medicine with expand the consociation of afferent medicine application, strengthen support of whole nursing in the meantime, ability obvious the exaltation greatly spits blood a save of sufferer to cure effect.
Greatly spitting blood is a nasty Wei advanced case section one of the familiar nasty Wei symptoms in the sufferer, often cure can not compare with because of save or delay but cause death.The treatment which therefore spits blood has been highly valued by the medical worker.Compare under spit blood of the nursing still shows the existence certain shortage, particularly is greatly spit blood to save to cure process in of the nursing work be more important.Along with clinical raise towards spitting blood a sufferer a nursing a work of value and cure make progress, its salvage success rate continuously.We greatly spat blood a sufferer to carry on a review analysis to 45 and elaborated to greatly spit blood a save of sufferer to cure a nursing to realize.
One clinical data
Save to cure to greatly spit blood sufferer’s 24(A set) to May, 1998 emergency call in my hospital in May, 1991, male’s 16, female’s 8, the age is 17 years old~20 years old, among them, the bronchus extend to greatly spit blood 13 and the tuberculosis causes 6 and the cancer greatly spits blood 1 and the lung abscess greatly spits blood 2, the pneumonia greatly spits blood 1, and the breeze secret concern is 1.Accept to cure 21(B set) to greatly spit blood a sufferer to June, 2006 in June, 1998, male’s 15, female’s 6, the age is 19 years old~71 years old, among them, the bronchus extend 11 and the tuberculosis is 7, the pneumonia is 1, and the lung abscess is 2.
2 treatment methods and result
Two sets of sufferers have a certain dissimilarity in saving to cure procedure.In addition to generally stopping bleeding treatment, the A set sufferer uses to generally stop bleeding a medicine, suffer from side chest to place ice bag such as the vein, keep on the vein application hang after the body a leaf vegetable, treatment result 4 death, 2 turn a surgical operation treatment.Death 3 be because of the bronchus to extend to spit blood, 1 are a lung abscess sufferer, the main reason is greatly sufferer’s age to be partial to, or because of fall ill over a long period of time chronic consume, physical endowment weak, the main cause of death fastens asphyxiation;B set sufferer in addition to give above-mentioned treatment method, think to the treatment effect disregard, then give to expand an afferent medicine treatment, carried out a whole nursing in the meantime, attained to take sufferer as center, strengthen to the bedside guardianship which greatly spits blood a sufferer, the exaltation nursing quality, the B set sufferer cures effect ideal, none example death.
3 discussions
Spit blood is a familiar clinical symptom, the main cause of disease have, lung department disease:Such as burning disease, tubercle, lung parasite far-gone;Bronchus disease:If the bronchus extends film tubercle, bronchus stone calculus…etc. inside the disease, bronchus cancer, bronchus;The lung afferent disease;Whole body disease:Like blood disease, some infect far-gone;Heart disease.This text 2 sets greatly spit blood a sufferer to all extend a disease by bronchus the most familiar, secondly is tuberculosis, pneumonia, lung abscess…etc., the cause of disease is mostly same.The sufferer who generally spits blood gives to aim at a cause of disease treatment and adopts to stop bleeding measure, and Zhu the sufferer absolutely lies a bed rest, the nervous motion, violent cough which aims at a sufferer in the meantime give homologous treatment, the great majority sufferer can attain to stop bleeding effect, but for greatly spit blood of the sufferer’s processing then is different.Greatly spit blood the sufferer’s condition more nasty, sufferer spirit strain, if cure can not compare with, the nursing can not be to easiest cause to suffocate but die.Two sets of sufferers whom we statistics, different because of the way of the treatment and the nursing, the success rate of the salvage is also different.B set sufferer because of the Suo afferent medicine(hang after the body a leaf vegetable) with expand the consociation of afferent medicine(the Fen be secure to pull clear) application, add it have support of whole nursing, greatly spit blood of save to cure obviously and successfully.Think before that hanging after the body the strong constringency of the leaf vegetable an afferent function is the key that it stop bleeding, have “the Medicine stop bleeding pliers” it the United States to call, concrete method of using BE:While connecting to diagnose to greatly spit blood a sufferer, immediately with the 25% glucoses 20 mls+hang after the body leaf plain 10 U vein to push to note, then with the 10 Us~the 20 Us dissolve to after 250 mls~500 ml keeping on a vein intravenous drop in the liquid, stopping bleeding a 48 hs~72 hs reduce to stop a medicine gradually.Save sufferer’s observation for cure according to us, that medicine extends a disease to cause to youngly and greatly spit blood a sufferer to stop bleeding effect to the bronchus better, but blood vessel’s extending the medicine main function be to extend blood vessel, lower lung artery to press, lower to have second thoughts amount of blood, reduce lung blood quantity, so the lung afferent bed amount of blood fly to a body, there is the function of “inside put blood” and attain to stop bleeding a purpose thus.In common use medicine such as Fen secure pull a clear 10 mgs~20 mgs+5% glucoses 250 mls~the 500 mls slow-moving vein intravenous drop, connect to use a 5 ds~7 ds, the effect is more ideal, particularly is the bronchus which is applicable to the heart source to spit blood and merges to have lung secret concern to extend a disease to greatly spit blood, other expand afferent medicine medicine to have 654 s 2, eliminate heartache etc..
4 nursings realize
In addition to stopping bleeding measure, the salvage greatly spits blood of another key strengthen a nursing.Want to do from several following aspects:
4.1 close observation condition variety observation condition mainly is for discovering asphyxiation and losing guts shock to wait serious complications in time.Most sufferers have omen symptom before asphyxiation, such as complexion pale, pulse speed, the chest be stuffy, confused and fidgety uneasy, throat make ring etc..The sufferer of the Zhu is as far as possible peaceful, and give a little amount tranquilizer, prepared to work before working well a salvage, spat blood quantity towards greatly spitting blood a sufferer to want accurate record.In fixed time measure a heart rate, pulse, blood pressure, appear to lose guts shock to give to handle in time.Greatly spit blood a sufferer if have a cough not Chang or spit blood to stop short, sufferer because the chest is stuffy or the flounder start to sit also the spirit be nasty or suddenly confused state of mind, relieve nature an incontinence, have another a companion is a thrombus to jam a spirit way but take place suffocate with the result that, immediately notify that the doctor also quickly places the member of disease in the meantime a low foot high, make sufferer top body get down inclination and ground present 45 °s~90 ° Capes lead by keeping a full body to flow.Pry open maxillary joint, the clearance thrombus inside the mouth cavity, tap back to make it cough, if the above-mentioned processing be invalid and can quickly make windpipe to put a tube.
4.2 absolutely lie the bed rest restriction sufferer’s activity, can reduce various make an effort, the afferent pressure keeps steady.Take to suffer from a side to lie, can make to suffer from side chest Kuo is press, breathe sport to be subjected to a limit, these are all advantageous to stop bleeding.
4.3 work well a mental nursing to greatly spit blood a sufferer spirit strain and fear, appear to be close to dead, can make the blood pressure go up, aggravate to spit blood.Spit blood a sufferer to usually repress the Luo of blood because of fear, increase choking danger.Some sufferers even the nighttime dare not to fallen asleep and fear to again spit blood occurrence an accident.A handful of sufferers are still abandon by family, therefore easily fidgety.To above-mentioned circumstance we should discover in time, be a think of good sufferer to want to work, also want to communicate with family members in the meantime, obtain a match, let the sufferer have a kind of safe feeling, and make use of various opportunity to give a sufferer to well encourage, make them continuously strengthen confidence, match treatment, recover from illness for the convenience of the paroxysm.
4.4 food nursings greatly spit blood temporary forbid a food, can enter liquid substance or half liquid substance food that the nourishment enrich after spitting blood a control.Forbid edible stimulating food, hate to drink strong tea, coffee…etc..
4.5 keep facile defecation a sufferer often because of absolutely lie a bed rest and forbid food’s etc. to cause constipation, the bowels’ make an effort will cause afferent pressure increment but cause to spit blood, can give some slow Xie, low-pressure infuse bowel when it’s necessary
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