鼻胃管引流在胆总管切开一期缝合术中的护理体会

Nursing Experience in Nasogastric Tube Drainage for Primary Suture of Choledoch Incision

目的：探讨鼻胃管引流在胆总管切开一期缝合术中的护理体会。方法：回顾性分析我院2010年5月～2012年5月门诊收住入院的通过内置鼻胆管引流实施腹腔镜或开腹胆总管探查后一期缝合胆总管治疗的70例胆道结石患者的临床资料。结果：70例患者手术均获成功，鼻胃管放置时间为4.6±1.0天；63例（90.0%）患者认为引流效果满意；5例患者引流不畅后应用注射器抽生理盐水冲洗后引流顺利；2例患者发生出血，均为胆管癌患者，应用去甲肾上腺素后症状缓解，均无护理并发症发生。结论：有针对性地提出护理问题并采取相应护理措施，重视并做好基础护理是保证手术成功的前提。

To investigate the nursing experience of nasogastric tube drainage for primary suture of choledoch incision. Methods：Clinical data of 70 biliary calculi outpatient treated with nasogastric tube drainage for primary suture of choledoch incision in our hospital form May 2010 to May 2012 were retrospectively analyzed. Results：70 cases succeeded in operation, placement time of nasogastric tube was 4.6 ± 1.0 days;63 cases （90%） were satisfied with drainage;5 cases of patients with poor drainage were well drainage after the normal saline flushing with syringe;2 patients with cholangiocarcinoma bled, which were remission after applied with norepinephrine, all without nursing complications. Conclusion：The prerequisite of successful operation is with corresponding nursing measures for pertinency nursing problems and attach importance to basic nursing and achieve.