摘要
目的总结20例食管狭窄患者行ERCP术的护理经验。方法对20例食管狭窄行ERCP术的患者进行充分的术前评估,完善术前各项准备,加强术中配合,术后密切观察病情变化,及早发现和正确处理术后并发症。结果 20例食管狭窄患者中,2例因食管狭窄程度较重,无法扩张到相应进镜要求而放弃行ERCP术,18例均成功实施ERCP术并痊愈出院。ERCP手术成功率100%,其中有7例行取石术,6例行金属支架置入术,4例行塑料支架置入术;发生乳头切开处渗血1例,吻合口出血1例,吻合口炎1例,急性胰腺炎2例,急性胆管炎1例,未发生穿孔、死亡等严重并发症。结论食管狭窄患者行ERCP术是安全有效的,充分做好术前病情评估和准备工作是手术成功的前提条件,术后密切的病情观察和精心的护理是预防和减少术后并发症发生的重要保证。
Objective To summarize the nursing experience of 20 esophageal stenosis patients underwent ERCP surgery. Methods A total of 20 patients with esophageal stenosis underwent ERCP were included in the research. And sufficient preoperative assessments,improved the preoperative preparations,strengthened intraoperative cooperation,closely observation,postoperative changes,early detection and appropriate treatment of the postoperative complications were conducted to them. Results In 20 patients with esophageal stricture,2 cases gave up the ERCP operation due to severe esophageal stenosis,and 18 cases were successfully implemented the ERCP operation and discharged from hospital. The success rate of the ERCP operation was 100%,including lithotomy in 7patients,bile duct metal stenting in 6 cases,bile duct plastic stenting in 4 cases. There were one case with nipple incision bleeding,one case with anastomotic bleeding,one case with anastomotic stomatitis,2 cases with acute pncreatitis,and one case with acute cholangitis. There were no major complications including massive perforation and death. Conclusion It is safe and effective for patients with esophageal stenosis undergoing ERCP surgery. Sufficient preoperative assessment and preparation are prerequisite for the success of operation,and postoperative close observation and careful nursing are important guarantee to prevent and reduce the occurrence of complications after operation.
出处
《实用临床医药杂志》
CAS
2015年第4期53-56,共4页
Journal of Clinical Medicine in Practice
