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鼻胆(胰)导管引流术治疗胰胆疾病的护理 被引量:5

The nursing of biliary and pancreatic diseases treated by endoscopic nosal biliany drainage
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摘要 目的:探讨内镜逆行胰胆管造影(ERCP)经十二指肠乳头括约肌切开术(EST),胆道取石后行鼻胆(胰)导管引流术(ENBD或 ENPD)治疗各种胰胆疾病。方法:对108例患者经ERCP+EST+ENBD或ENPD,观察术后情况,防止并发症的发生。结果:108例患者经ERCP+EST+ENBD或ENPD治疗,胆汁或胰液引流通畅,淀粉酶下降,腹痛减轻,避免了手术痛苦。患者行引流3—7天后拔管,治疗效果良好。结论:ENBD或ENPD对胆胰疾病有着积极的诊断和治疗作用,加强术前、术后的护理是极其重要的。 Object: To probe into the effects of executing duct drainage trentment after the Endoscopic Retrograde Cholangioponcreatography (ERCP) and Papilla of duodenum papillotomy for stone extraction(ESF) Methods: To observe the conditon of 108 cases such as stomachache and the biliary drainage after the operation, so as to prevent the happening of complications. Results: All the eases were received rapial decompression in bile ducts, unobstructed b'diary drainage, lower amylase, lighten stomachache. The pipes were pulled out after 3 to 7 days drainage. Conclusions: It is energetic to using nasobiliary drainage in diagnosing and treating guts- pancreas diseases. Moreover, it is important to enhancing the nursing of pre and pro ERCP and EST.
作者 陈红
出处 《天津护理》 2006年第3期130-131,共2页 Tianjin Journal of Nursing
关键词 鼻胆(胰)管引流术 胰胆疾病 护理 Endoscopic Nosal Biliary Drainage (ENBD,ENPD), Putting Pipes, Nursing
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  • 1[5]Neoptolemos JP, Carrlocke DL, London NJ, et al. Contralled trial of urgent retrograde cholangiopancreatography and endoscopic sphincterotomy versus conservative treatment for acute pancreatitis due to gallstones. Lancet 1998 ;352:979. 被引量:1
  • 2徐显春 沈魁 何三光.50例急性出血性坏死性胰腺炎的治疗[J].实用外科杂志,1984,4(2):123-124. 被引量:3
  • 3孙振兴,许国铭,李兆申,谢苏庆,王娜,田青,吴仁培,姚银珍,方裕强.内镜下机械碎石术治疗总胆管1.0cm以上结石(附121例分析)[J].第二军医大学学报,1998,19(5):401-404. 被引量:53

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