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经口内镜下环形肌切开术治疗21例贲门失弛缓症的护理 被引量:5

Nursing for 21 patients with achalasia of cardia by treatment of peroral endoscopic myotomy
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摘要 目的总结21例内镜下环形肌切开术(POEM)的护理体会。方法对2011年6月-2012年6月21例确诊为贲门失弛缓症(AC)并接受POEM治疗护理进行回顾性分析。结果21例患者均成功行POEM治疗。其中3例术中少许渗血,经内镜下电凝止血,出血停止;2例出现纵隔和皮下气肿,2~3d后气肿消退。结论术前术中术后精心的护理,可减少并发症,提高手术成功率。 Objective To summarize the nursing experience of 21 cases of peroral endoscop- ic myotomy(POEM). Methods 21 patients diagnosed as achalasia of eardia(AC)as well as treated with POEM from June 2011 to June 2012 were analyzed retrospectively. Results 21 patients un- derwent the POEM successfully. 3 patients had slight staxis which was processed by endoscopic electrical coagulation. 2 patients had mediastinal and subcutaneous emphysema which disappeared 2 to 3 days. Conclusion Meticulous perioperative nursing can reduce complications and improve the success rate of surgery.
出处 《实用临床医药杂志》 CAS 2012年第20期35-37,共3页 Journal of Clinical Medicine in Practice
关键词 经口内镜下环形肌切开术 贲门失弛缓症 护理 peroral endoscopic myotomy achalasia of cardia nursing
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