肝硬化腹水并双下肢水肿破溃渗液1例的护理
Modern Journal of Integrated Traditional Chinese and Western Medicine（2010）
Abstract
75%以上的腹水是肝硬化引起的.腹水增多提示严重门脉高压和肝功能不全,也是肝硬化由代偿期转为失代偿期的重要标志之一,50%代偿性肝硬化患者10a内都将发生腹水肝功能减退,并发腹水的患者其3a内生存率不足50%,难治性腹水1a病死率超过50%[1].大量腹水时腹部高度膨隆,致使腹壁紧张度增加,从而导致患者胸闷憋气,不能平卧,易形成双下肢水肿,如不及时就医,还可导致双下肢水肿处破溃渗液.现将我院收治的1例肝硬化腹水并发双下肢水肿渗液伴皮肤破溃的护理体会报道如下.
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