内镜下逆行性胰胆管造影及十二指肠乳头切开取石术的护理
【摘要】 目的 探讨内镜下逆行性胰胆管造影及十二指肠乳头切开取石术的术中配合及术后护理要点。方法 对80 例胆总管结石患者进行逆行性胰胆管造影探查及十二指肠乳头切开取石术。结果 80 例患者成功完成手术，术后1例并发出血,经全面观察、及时抢救护理,均痊愈出院。1 例因术后呕吐致鼻胆管脱落，6例术后发生高淀粉酶血症,经积极的对症处理后均治愈,无一例因护理不当发生并发症。结论 内镜下逆行性胰胆管造影及十二指肠乳头切开取石术在术前、术中、术后都有很多影响因素,而有效护理对于提高手术效率及成功率、减少术后并发症有重要的作用。【关键词】 内镜逆行性胰胆管造影；胆总管结石；护理
【Abstract】 Objective
To investigate the effect of endoscopic retrograde cholangiopancreatography and duodenal papilla lithotomy operative cooperation and postoperative nursing points. Methods 80 cases of common bile duct stones in patients undergoing retrograde cholangiopancreatography exploration and duodenal papilla lithotomy. Results 80 patients successfully completed the operation, after operation in 1 cases complicated with bleeding through observation, timely, comprehensive nursing, they were cured. 1 cases because of postoperative vomiting induced by nasal bile duct loss, 6 case of postoperative hyperamylasemia, positive after symptomatic treatment were cured, no case of complications due to improper care. Conclusion A lot of factors can impact Endoscopic retrograde cholangiopancreatography and duodenal papilla lithotomy ......
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