内镜下治疗梗阻性黄疸的术中配合及护理

目的:探讨内镜下逆行胰胆管造影(ERCP)治疗梗阻性黄疸的护理体会。方法:术前给患者行心理护理,术中默契、熟练的配合,术后密切观察病情变化及并发症的发生。应用十二指肠镜在X线下完成逆行ERCP检查,行十二指肠乳头括约肌切开、取石或扩张胆管,或置入支架,治疗后部分患者行鼻胆管引流。结果:患者术中配合较好,本组检查无1例严重并发症发生。结论:内镜下治疗梗阻性黄疸,可以缓解胆管压力,解除梗阻,有效预防并发症。术中默契的配合和术后精心的护理对提高手术成功率和减少并发症有着重要作用。

Objective：To investigate the effect of endoscopic retrograde cholangiopancre-atography （ERCP） in treatment of obstructive jaundice nursing experience. Methods： the preoperative psychological nursing to patients. Application of endoscopic retrograde cholangiopancreatography under X - ray completed（ERCP） examination of duodenal papilla sphincterotomy, line, stone or dilatation of the bile duct, or stent placement, some patients after treatment of endoscopic nose biliary drainage. During operation, the skilled coordination tacit understanding, postoperative close observation of changes in conditions and complications. Results： Pa- tients with better, the examination of the group with no serious complication. Conclusion： endoscopic treatment for obstructive jaundice, can alleviate the pressure relief of the obstruction, bile duct, effective prevention of complications. Intraoperative cooperation and postoperative nursing to improve success rate of operation and reduce complications has an important role in.