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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,混,合,痔,中,医,护,理,查,房,十二病区,卓,悦,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,查,房,目,标,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,查,房,目,标,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,查,房,流,程,一、,病,例,介,绍,二、存在的护理问题,三、,知,识,链,接,四、,查,房,小,结,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,病,姓名：叶笑琴,性别：女性,年龄：,42,岁,费用类别：农保,住院号：,63206,入院时间：,2014-10-13 09,：,例,介,绍,婚姻：已婚,民族：汉族,职业：农民,文化程度：初中,26,步行入院,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,病,例,介,绍,入院诊断：,中医：混合痔,气滞血瘀证,西医：,1,、混合痔,2,、高血压,主诉：反复肛门口肿物脱出,3,年。,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,病,例,介,绍,患者,3,年前排便时感肛门口有肿物脱出，质软，排便后肿块自行回,纳消失。,3,年来患者感肛门口肿物反复出现且进行性增大、增多均未正,规治疗。今来我院求诊。,入院查体：,T 36.5,，,R 19,次,/,分，,BP 134/88mmHg,，,P 80,次,/,分。神,志清，精神欠佳，步行入院，呼吸平稳，听诊无殊。腹平软，无压痛。,肛门口可见花瓣样肿物脱出，水肿明显，脱出肿块触痛明显，部分脱,出粘膜破损，有新鲜渗血，无脓性液渗出。,肛门镜检查：,肛门外可见,痔核脱出，稍水肿，齿状线上粘膜充血水肿明显。,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,病,例,介,绍,既往史：高血压病史,7,年，长期口服药物治疗，现血压控,制良好。,个人史：长期居住丽水，无其他不良嗜好。一子一女，配,偶体健。,家族史：无,过敏史：无,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,中,医,护,理,评,估,BP134/88mmHg,，,SPO2 98%,疼痛评分,2,分。,生命体征：,T:36.5,，,P,：,80,次,/,分，,R,：,20,次,/,分，,1,、望诊,:,表情平和，面色红润，舌质红，苔白腻。,2,、闻诊：心肺听诊无殊,3,、问诊：,寒热：无,汗：正常,头：无外伤，无头痛,身：无活动不利,二便：大便干硬，小便不畅。,饮食：纳食香甜,听力视力：正常,旧病：高血压,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,中,医,护,理,评,估,此次病因：无诱因,服药：无,月经：规律，无不规则阴道流血,睡眠：夜寐不酣,嗜好：无特殊,4,、切诊：脉弦细，腹平软，腹皖无压痛,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,中,医,辨,证,分,析,患者以“反复肛门口肿物脱出,3,年”为主诉，结合查体，辨,证当属中医“混合痔”范畴，根据舌、脉表现，证属气滞血瘀,证。患者因饮食不节、过食辛辣醇酒厚味，燥热内生，下近大,肠，以及便秘努责，致血行不畅，血液淤积，热与血相搏，气,血纵横，筋脉交错，结滞不散而成。,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,治,疗,经,过,?,因患者夜眠不酣，入院后予神门、心、枕耳穴压豆，以益,气安神，调节睡眠。,?,术前晚给予白术、炒枳实、番泻叶、火麻仁等中药方剂灌,肠，以润肠通便，减轻肠道压力。,?,于,2015,年,10,月,15,日在腰硬联合麻醉下行混合痔肛垫悬吊,术，术后诊断：,1,、混合痔疮；,2,、高血压病。术后患者生,命体征平稳，手术创口无明显渗血，疼痛评分约,3,分，术,后小便能自解。,?,术后用药：予头孢唑啉针、替硝唑针抗感染，七叶皂苷钠,消肿及补液对症治疗，并配合血府逐瘀汤合桃红四物汤活,血化瘀、行气止痛。,?,术后为防止患者大便干结，取木香、佛手、厚朴等中药贴,敷于双侧足三里穴，以达理气通便之功。,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,现,状,患者神志清，精神较前稍振，呼吸调匀，无,畏寒发热，肛门处创口无渗血渗液，未见痔核脱,出，排便后创口疼痛轻。胃纳尚佳，大便软，无,便血，小便无殊。舌淡，苔白，脉细。因患者要,求出院，经何建胜主任查看后认为患者术后平稳，,于,2014,年,10,月,18,日办理出院。,With the improving quality of,With,the improv,ing,quality,of life as well,as the ev,er-accelerating,pace of life,the quality,of peoples food needs and rate also changing.In order to meet,the needs of society,查,房,流,程,一、,病,例,介,绍,二、存在的护理问题,三、,知,识,链,接,四、,查,房,小,结,With the improving quality of,With,the improv,i
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