肝移植术后胆道狭窄介入治疗的护理

目的探讨肝移植术后胆道狭窄介入治疗患者的护理。方法回顾性的总结和分析我科26例胆道狭窄患者介入治疗的观察及护理。结果经内镜逆行胆道造影治疗成功20例;经皮肝穿刺胆道造影治疗成功3例;1例采用两种介入方法均失败后行胆肠吻合术;1例死于肝癌复发,1例再次肝移植死于多器官功能衰竭。结论介入治疗是治疗胆道狭窄的有效方法,良好的护理有利于提高患者的生存质量及生存率,而心理护理、引流的观察及护理、有效预防感染、并发症的观察和护理、饮食指导是护理的关键。

Objective To explore the nursing strategies for patients who accepted intervention treatment because of biliary stegnosis after Liver transplantation. Method Data of 26 eases who accepted intervention treatment for biLiary stegnosis after Liver transplantation were analyzed retrospectively. Result Twenty patients recoverd from endoscople retrograde eholangiagraphy （ERC） treatment, 3 patients recovered from pereutaneous transhepatic eholangiography （PTC） treatment, 1 patient finally received eholedochojejunostorry for ERC and PTC didn＇t work, 1 patient died of Liver carcinoma recrudescence, and 1 patient died of multiple organ failure after second Liver transplantation. Conclusions Interventional treatment is an effective therapy for biliary stegnosis. Good nursing can improve the life quality and survival rate, and psyehological nursing, observation of drainage, effective prevention of infection, side syndrome observation and diet guidance are the key point for nursing.