目的探讨和总结重症急性硬腺炎(SAP)的临床护理经验。方法回顾性分析38例SAP的临床表现和护理情况。结果发现SAP发病急、快、重、危，病情多变、复杂。早期、及时发现，正确、合理治疗，整体优质护理，可以防止病情发展，减轻症状，减少并发症，提高救治成功率。结论SAP应重点观察血压、脉搏、呼吸、体温、血糖、血气、尿量及比重、血、尿淀粉酶和生命体征变化，建立各种有效通道，保证气道、尿道、静脉输液、引流管道通畅无阻。搞好胃肠、静脉营养，正确、合理使用抗生素，做好急性期的心理护理和康复期饮食护理等综合治疗、护理是救治成功的基础。%Objective To explore and summarize the severe acute pancreatitis (SAP) hard clinical nursing experience. Methods To review the clinical manifestations and nursing care of 38 cases of SAP. Results It was found that the SAP acute onset, fast, heavy, dangerous, changeable, complex disease. Early, timely, correct, reasonable treatment, the overal quality of nursing care, can prevent the progression of the disease, relieve symptoms, reduce complications, improve the success rate of treatment. Conclusion SAP should focus on the observation of blood pressure, pulse, respiration, body temperature, blood glucose, blood, urine volume and specific gravity, blood, urine amylase and the change of vital signs, establish ef ective channel, ensure the airway, urethra, intravenous infusion, drainage pipeline unimpeded. Improve gastrointestinal, intravenous nutrition, reasonable use of antibiotics, to correct, acute psychological nursing and rehabilitation period diet nursing therapy, nursing is the basis of successful treatment.
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