内镜下高频电凝、电切治疗消化道息肉及并发出血的护理

Nursing care for digestive tract polyps complicated with hemorrhage treated by endoscopic high frequency electric coagulation and electric excision

目的：探讨高频电凝、电切治疗息肉及并发出血后,止血的护理配合,总结护理在止血前、后的重要性。方法：对42例患者经病理排除恶性消化道息肉患者行息肉治疗并发出血者,均在内镜下行止血术。护士在术前做好患者和物品准备,术中密切配合内镜操作医生及术后密切观察病情变化及护理;对18例患者在内镜直视下对出血灶使用冰盐水100 mL＋去甲肾上腺素80-20g喷洒止血。9例患者在内镜下使用0.9%NCI5 u＋肾上腺素1 mL注射3-5点止血;15例患者在内镜下使用金属钛夹夹闭止血。结果：治疗成功率和根治率达100%,无术后并发症发生,无1例转外科手术治疗,具有效果好,创伤小、费用低等优点。结论：护理工作在内镜下治疗消化道息肉并发出血,治疗中起到了非常重要的作用,是内镜下治疗消化道息肉并发出血治疗成功的必要条件。

Objective： To explore the nursing care for endoscpic digestive tract polyps with complication of hemorrhage treated by coagulation and electric excision, and to summarize the nursing importance to haemostasis.Methods： high frequency electric Fourty-two patients with benign digestive tract polyps were excised and complicated heamorrhage were treated under endoscope. The nurses prepared the items before excision,cooperated closely with the doctors during excision and observed the patients＇ conditions carefully after exciion. Eighteen patients were treated with Cryosaline 100 ml and Noradrenaline 80-20 sprayed to the hemorrhagic focus under the endoscope. Nine patients were injected 3 -5 points with Nacl 5ul ＋ adrenaline 1 mL under the endoscope.Fifteen patients were clamped with metallotitanium tongs for haemostasis. Results：The healing and radical cure rate was 100 % and there were, no postoperative compications, and no need of surgical haemostasis.It had the advantages of good effect, mild wound, and lower cost. Conclusion： Nursing care plays a very important role in digestive tract polyps excision compicated with hemorrhage under the endoscope, and is the rcquisite for successful treatment.