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1 case of postoperative multiple organ dysfunction syndrome caused by the monitoring and care

Mucosa, inhibit gastric acid secretion, prevention of gastrointestinal bleeding, gastric juice taken regularly to observe the quantity, color, nature and frequency of bowel sounds, nausea and vomiting, in order to guard against the possibility of gastrointestinal bleeding. Postoperative day 6 of the enzymes increased, decreased albumin, a large number of eggs added to the door, immunoglobulin to protect the liver function drugs, in the 7 days after the occurrence of GI disorders, the daily routine to the stool examination and training, to facilitate the adjustment of the application of antibiotics, intestinal astringent medicine conditioning, maintenance of normal intestinal function of seven, metabolic and nutritional support to the chest after the development of multi organ failure patients, through the small high catabolic phase, oxygen consumption and increased energy consumption. Under stress due to hormonal changes in the environment, glycogenolysis,[link widoczny dla zalogowanych], insulin resistance, accelerated protein degradation, increased gluconeogenesis III. Therefore, the status of multiple organ dysfunction under the eyes is an important metabolic and nutritional support treatment measures, in this case to the large number of self proteins,[link widoczny dla zalogowanych], plasma, fresh blood, fat emulsion, complex amino acids. Recovery of gastrointestinal function, verdict early enteral nutrition, the use of liquid Bi feeding tube feeding (broth, rice soup, fish soup), from 5Oml / time gradually to 150m1 times, each nasal feeding 2h 1, taken after the feeding tube removed The IA eating. From liquid to semi-liquid. Eating better than non-intestinal gut, because intake of nutrients by the gastrointestinal tract can to restore gastrointestinal motility, gastrointestinal mucosal barrier protection. VIII, to prevent infection of the patients had cervical, thoracic and abdominal drainage tube, catheter, subclavian vein F, peripheral venous catheter, stomach tube, tracheostomy tube 9, greatly increasing the chance of infection. Especially in tracheotomy patients, usually in the postoperative day 1 with triple antibiotics. Regular sputum, stool culture + sensitivity to find pathogens,[link widoczny dla zalogowanych], changes in favor of treatment, the patients have used the Maxipime, flumorph enjoin, Timentin, stable reliable, the Thai energy, such as antibiotics Kai Fu cable set control of the respiratory tract, gastrointestinal tract infections, 3, d tracheotomy care, 2, week replacement ventilator tube and humidifier, urine bags, take back every 2h stand 1,[link widoczny dla zalogowanych], the door cavity care, skin care 2, d, monitoring vital signs, especially temperature changes, all the medical supplies are the use of disposable sterile medical supplies, each suction tube only 1 times, forbidden to use, good deep venous,[link widoczny dla zalogowanych], peripheral venous catheter mouth care, daily disinfection for film.