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16例自发性食管破裂病人的护理

方秀香,林秀娟,陈美爱,朱珍玉

JOURNAL OF NURSING SCIENCE（2004）

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Abstract
回顾性分析16例自发性食管破裂病人的临床资料.结果13例于发病后6～36 h确诊治愈;2例于发病72 h后确诊,术后并发呼吸衰竭而死亡;1例因误诊5 d后才确诊,死于多脏器功能衰竭.提示自发性食管破裂治疗成功的关键是及早诊断和及早外科手术治疗,护理重点在于密切观察病情变化,加强呼吸道、胸腔闭式引流及胃肠减压的护理,做好营养支持疗法和心理护理,以促进病人康复.
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