良性食管瘘覆膜支架治疗的术后护理体会
摘要
良性食管瘘是胸外科和消化科常见急重症之一[1],既往以手术或内科保守治疗为主,住院时间长,住院费用大,病死率高。近几年来,覆膜食管支架置入术可以堵塞食管瘘口,减少食管内容物污染,减少甚至杜绝胸腔纵隔感染源,同时可以提前开放饮食,增强营养,促进瘘口感染愈合,是目前首选的侵袭最小的治疗方法之一[2],但护理较复杂,目前没有规范。本文对2003年4月~2013年6月我院30例良性食管瘘覆膜食管支架的护理总结报道如下。
出处
《中国微创外科杂志》
CSCD
2014年第11期1060-1062,共3页
Chinese Journal of Minimally Invasive Surgery
参考文献16
-
1李小平,马霁波,许丰,陆德文.覆膜支架治疗良性食管瘘的临床应用[J].中华消化内镜杂志,2012,29(12):709-710. 被引量:4
-
2Fischer A ,Thomusch O,Benz S, et al. N onoperative treatment of 15 benign esophageal perforations with self-expandable covered metal stents. Ann Thorac Surg,2006,81 ( 2 ) :467 - 472.
-
3周子奎,陈宝菊,林长平,耿静羽.食管支架植入术后并发症及相关因素的探讨[J].介入放射学杂志,2006,15(2):114-115. 被引量:37
-
4Solbakken AM, Horde Q, Glomsaker T. The use of stents in benign esophageal conditions. Tidsskr Nor Laegeforen, 2005, 125 ( 16 ) : 2175 -2178.
-
5Griffin SM, Lamb PJ, Shenfine J, et al. Spontaneous rupture of the oesophagus. Br J Surg, 2008,95(9) :1115 - 1120.
-
6Alanezi K, Ursehel JD. Mortality secondary to esophageal anastomotic leak. Ann Thorae Cardiovase Surg, 2004,10 ( 2 ) : 71 - 75.
-
7White RE, Mungatana C, Topazian M. Expandable stents for iatrogenie perforation of esophageal malignancies. J Gastrointest Surg,2003,7(6) :715 -772.
-
8Siersema PD. Treatment of esophageal perforations and anastomotie leaks: the endoseopist is stepping into the arena. Gastrointest Endosc ,2005,61 ( 7 ) : 897 - 900.
-
9Peters JH, Craanen ME, van der Peer DL, et al. Self-expanding metal stents for the treatment of intrathoracic esophageal anastomotic leaks following esophageetomy. Am J Gastroenterol, 2006, 101 ( 6 ) : 1393 - 1395.
-
10Ross WA, Alkassah F, Lynch PM, et al. Evolving role of self expanding metal stents in the treatment of malignant dysphagla and fistulas. Gastrointest Endosc ,2007,65 ( 1 ) :70 - 76.
二级参考文献18
-
1张三典,高耀明,张军宁.食管内支架置入术联合放射治疗晚期食管癌临床探讨[J].中国肿瘤临床,2005,32(6):344-345. 被引量:8
-
2Norbert W, Horst N, Thomas R, et al. Treatment of esophagorespiratory fistulas with siliconecoated self- expanding metal stents. Gastrointest Endoscopy, 1995,41 : 490.
-
3DOMSCHKE W, FOERSTER E C, MATEK W, et al. Self-expanding mesh stent for esophageal cancer stenosis[J]. Endoscopy, 1990,22(3) :134-136.
-
4汉宋明 海鹰 利扬 等.食管瘘由于食管癌;姑息治疗与疆膜支架[J].放射学,1996,.
-
5Fischer A, Thomusch O, Benz S, et al. Nonoperative treatment of 15 benign esophageal perforations with self-expandable covered metal stents. Ann Thorac Surg, 2006,81:467-472.
-
6Griffin SM, Lamb PJ, Shenfine J, et al. Spontaneous rupture of the oesophagus. Br J Surg, 2008,95 : 1115-1120.
-
7Alanezi K, Urschel JD. Mortality secondary to esophageal anasto- motic leak. Ann Thorac Cardiovasc Surg, 2004,10:71-75.
-
8White RE, Mungatana C, Topazian M. Expandable stents for iat- rogenic perforation of esophageal malignancies. J Gastrointest Surg, 2003,7:715-720.
-
9Siersema PD. Treatment of esophageal perforations and anasto- motic leaks : the endoscopist is stepping into the arena. Gastroint- est Endosc, 2005, 61:897-900.
-
10Peters JH, Craanen ME, der Peet DL v, et al. Self-expanding metal stents for the treatment of intrathoracic esophageal anasto- motic leaks following esophagectomy. Am J Gastroenterol, 2006, 101:1393-1395.
共引文献40
-
1蒋龙,唐坤尚,马安民.食管恶性狭窄支架置入术后并发症观察[J].实用医院临床杂志,2007,4(2):67-68. 被引量:1
-
2金珍成,陈伟训.改进的食管支架置入法治疗42例重度食管恶性狭窄[J].肿瘤学杂志,2007,13(1):72-73.
-
3王秀平,姚中强,刘健,张岩.大杯口加膜支架在食管下段贲门癌支架术后再狭窄中的应用研究[J].介入放射学杂志,2007,16(7):478-480. 被引量:3
-
4陈素玉,施宏,李华圣,黄贺,胡勇,刘莲卿.特制覆膜金属内支架在治疗非梗阻性食管瘘中的应用[J].微创医学,2007,2(4):268-270. 被引量:2
-
5张凌,王江滨.食管狭窄内支架介入治疗的护理[J].护理研究(下旬版),2007,21(10):2776-2777. 被引量:2
-
6赵桃月.记忆合金支架捆绑碘-125粒子治疗中晚期食管癌的护理体会[J].现代中西医结合杂志,2008,17(11):1768-1769. 被引量:4
-
7宋磊,王峰,纪东华,张弦.脱落覆膜食管支架自行排出一例[J].介入放射学杂志,2008,17(4):303-303. 被引量:6
-
8张红霞,杨萍.食管支架植入术后并发症的护理[J].医药论坛杂志,2008,29(18):120-121. 被引量:1
-
9刘利,韩雅玲,李红,冯铁虹.食管支架置入术治疗晚期食管癌贲门癌疗效及并发症分析[J].疾病监测与控制,2009,3(1):19-20.
-
10兆天欣.食管支架置入的临床适用性及其特点[J].中国组织工程研究与临床康复,2008,12(52):10335-10338. 被引量:10
-
1梁虹,沈秀红.覆膜食管支架置入治疗35例食管良性狭窄病人的护理[J].全科护理,2015,13(20):1948-1950. 被引量:2
-
2吕成倩,吕志武,王新红.经皮内镜下胃造口空肠置管术在良性食管瘘患者中的应用[J].胃肠病学和肝病学杂志,2012,21(1):50-51. 被引量:5
-
3田素红,陈俊卯,董立宏,李燕.Roy适应模式在腹主动脉瘤患者围手术期中的应用[J].现代临床护理,2011,10(6):25-26. 被引量:5
-
4耿晶,王芳,熊萍.内覆膜支架治疗主动脉夹层病人围术期护理[J].护理学杂志(综合版),2004,19(19):73-74. 被引量:11
-
5肖健香,李娟,谭玲梅,刘秀玲.食管颈部造瘘术在鼻咽癌放疗后吞咽困难患者中的应用[J].现代临床护理,2011,10(6):57-58. 被引量:3
-
6林翠琴,陈钟,吕新芝,吴嘉诚.内镜下置入覆膜支架治疗异物性食管穿孔的护理[J].全科护理,2015,13(35):3586-3587. 被引量:1
-
7陈秀梅,许震娟,江爱桂.经支气管镜置入覆膜支架治疗食管癌伴气道狭窄合并气管食管瘘的护理[J].全科护理,2016,14(29):3093-3094. 被引量:9
-
8林峰,高丽亚,谢婷婷.20例冠状动脉搭桥患者的术后护理[J].护理与康复,2007,6(11):753-754. 被引量:3
-
9张永莉,杨瑞民.内覆膜支架治疗主动脉夹层病人的护理[J].医学信息,2008,21(4):569-570. 被引量:1
-
10刘丽.上消化道出血禁食病人逐步开放饮食的健康教育[J].中国保健营养(下半月),2013,0(3):907-907. 被引量:1