Nursing of patients with hepatic coma.doc

 PAGE \* MERGEFORMAT 7 Nursing of patients with hepatic coma [Abstract] of 54 patients with liver cirrhosis and early symptoms of coma observations into a coma and a summary of nursing experience that patients with liver cirrhosis through close observation, if early symptoms of coma to discover and remove incentives for early take the appropriate treatment and care measures to prevent the occurrence and treatment of hepatic coma hepatic coma and reduce mortality beneficial. [Keywords:] Hepatic encephalopathy; hepatic coma; Care Hepatic coma, also known as hepatic encephalopathy, acute and chronic distinction. Acute hepatic coma, such as: acute liver failure induced coma and high mortality. Chronic hepatic coma and liver cirrhosis mainly, through early diagnosis, quality care and comprehensive treatment and prognosis is good. hepatic coma based on the degree of disturbance of consciousness and nervous system is divided into four phases, namely: a (prodromal stage): mild personality changes and behavioral disorders; two (pre-coma): The confusion, Sleep disorders and behavioral disorders based; three (sleeping period): The main sleeping and mental confusion; IV (coma period): complete loss of consciousness, can not wake up. If we can discover in the clinical care early symptoms of coma, for the early treatment offers the most timely information to facilitate early elimination of incentives for rational use of drugs, blocking the development of hepatic coma, to maximize efficacy, and promote recovery. now to our hospital, nursing care of patients with hepatic coma are described below. 1 Clinical data Our hospital from 2009 to 2010 a total of 54 patients treated with chronic hepatitis and cirrhosis patients with hepatic coma, 39 patients were male and 15 women, aged 35 to 71 years, mean age 57 years. 34 patients after intensive care Turning the Tide and treatment, 9 patients died due to hepatic coma, 11 patients died of other complications. 2 Obser