摘要
目的 探讨经内镜胆道支架置入术的护理配合。方法 回顾2010年7月-2014年12月我院50例经内镜胆道支架置入术患 者术前、术后护理及术中配合。结果 所选取的病例胆管狭窄部位及长度均经ERCP进行确定,经透视引导置入已选 择好的支架。塑料支架组40例,金属支架组10例。术后患者黄疸均明显减退,胆道通畅期为4-25个月。结论 术前 加强与患者及其家属的沟通,使患者积极配合治疗;术中医护配合,确保支架成功置入;术后精心护理是经内镜胆 道支架置入术有效治疗胆道疾病的重要保障。
Objective To explore the nursing cooperation in the clinical application of endoscopic biliary stent placement. Methods 50 cases of our hospital from July 2010 to December were treated by endoscopic biliary stent implantation, postoperative care and intraoperative cooperation. Results The location and length of bile duct stricture were determined by ERCP, and the selection of the selected cases was good. Plastic stent group, 40 cases, metal stent group, 10 cases. After surgery, patients with jaundice decreased significantly, the symptoms improved, and the bile duct patency period was 4-25 months. Conclusion Preoperative strengthen communication with patients and their families, so that patients actively cooperate with the treatment; operative doctor nurse cooperation to ensure successful stent implantation; careful postoperative nursing care is endoscopic biliary stenting is effective in the treatment of biliary tract disease is an important guarantee.
【关键词】支架置入术;内镜;护理
【中图分类号】R473.6
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2015.05.009
前言
胆道梗阻性疾病在临床上比较常见,且病因复杂 多样,主要有肿瘤、结石、炎症、外伤及外部压迫, 经内镜胆道支架置入治疗良恶性胆道梗阻,在临床上 已广泛应用,是公认的治疗胆道梗阻的有效方法,对 比传统外科手术,它具有并发症低、创伤小、死亡率 低的优点[1,3,5]。随机选取2010年7月~2014年12月我 院收治的50例经内镜胆道支架置入术患者作为研究对 象,分析其治疗中护理配合的效果,现报道如下。
罕少疾病杂志
第22卷, 第 5 期
2019年11月
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