经皮肝穿刺胆道内支架植入治疗恶性胆道梗阻术后并发症的护理

Nursing of patients with postoperative complications following percutaneous transhepatic cholangiographic drainage and biliary tract stent implantation for malignant obstructive jaundice

总结了恶性胆道梗阻经皮肝穿刺胆道内支架植入术后并发症的观察和护理。32例患者中,8例出现术后并发症,包括胆道出血2例、胆道感染4例、气胸1例、胆漏1例。经过周密观察和护理,患者安全度过围手术期,生存质量明显改善。

This paper summarizes the observation and nursing of patients with postoperative complications following percuta- neous transhepatic cholangiogrphic drainage（PTCD） and biliary tract stent implantation for malignant obstructive jaundice. Among thirty-two patients ,eight had postoperative complications,including two with biliary tract hemorrhage,four with biliary tract infection,one with pneumothorax and one with bile leakage. All the thirty-two patients recovered well in clinical symptoms and quality of life. To attach importance to psychological nursing and postoperative health education are the key points in nursing care of patients with PTCD,which play important roles in alleviating clinical symptoms,improving treatment outcome and promoting the patients＇ quality of life.