目的：探讨经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸患者的护理。方法：总结2012年1月~2014年12月我院接受经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸患者年8例的围手术期护理方法，观察和分析手术相关并发...目的：探讨经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸患者的护理。方法：总结2012年1月~2014年12月我院接受经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸患者年8例的围手术期护理方法，观察和分析手术相关并发症。结果：经治疗和精心护理，手术后1个月黄疸明显消退，术后患者平均血清总胆红素由267．4μmmo／ L 降至66．13μmol／ L，8例患者平均胆道和支架通畅时间128（90~145）d。6例生存期192（123~257）d，2例在随访中。术中 8例患者均出现上腹部轻度烧灼疼痛感，2例出现呕吐，给予及时对症治疗好转；射频治疗术中、术后未发生出血、穿孔、胆心反射等严重并发症。结论：经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸是一种安全、有效、操作简单的方法；而周密的术前准备可确保治疗顺利进行；术中熟练配合和严密的监测，可确保手术治疗安全；术后精心护理可使患者安全度过康复期。展开更多
Chemical ablation of the gallbladder is effective in patients at high risk of complications after surgery. Percutaneous gallbladder drainage is an effective treatment for cholecystitis; however, when the drain tube ca...Chemical ablation of the gallbladder is effective in patients at high risk of complications after surgery. Percutaneous gallbladder drainage is an effective treatment for cholecystitis; however, when the drain tube cannot be removed because of recurrent symptoms, retaining it can cause problems. An 82-year-old woman presented with cholecystitis and cholangitis caused by biliary stent occlusion and suspected tumor invasion of the cystic duct. We present successful chemical ablation of the gallbladder using pure alcohol, through a percutaneous gallbladder drainage tube, in a patient who developed intractable cholecystitis with obstruction of the cystic duct after receiving a biliary stent. Our results suggest that chemical ablation therapy is an effective alternative to surgical therapy for intractable cholecystitis.展开更多
文摘目的：探讨经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸患者的护理。方法：总结2012年1月~2014年12月我院接受经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸患者年8例的围手术期护理方法，观察和分析手术相关并发症。结果：经治疗和精心护理，手术后1个月黄疸明显消退，术后患者平均血清总胆红素由267．4μmmo／ L 降至66．13μmol／ L，8例患者平均胆道和支架通畅时间128（90~145）d。6例生存期192（123~257）d，2例在随访中。术中 8例患者均出现上腹部轻度烧灼疼痛感，2例出现呕吐，给予及时对症治疗好转；射频治疗术中、术后未发生出血、穿孔、胆心反射等严重并发症。结论：经皮穿刺胆道支架置入联合胆道消融术治疗恶性阻塞性黄疸是一种安全、有效、操作简单的方法；而周密的术前准备可确保治疗顺利进行；术中熟练配合和严密的监测，可确保手术治疗安全；术后精心护理可使患者安全度过康复期。
文摘Chemical ablation of the gallbladder is effective in patients at high risk of complications after surgery. Percutaneous gallbladder drainage is an effective treatment for cholecystitis; however, when the drain tube cannot be removed because of recurrent symptoms, retaining it can cause problems. An 82-year-old woman presented with cholecystitis and cholangitis caused by biliary stent occlusion and suspected tumor invasion of the cystic duct. We present successful chemical ablation of the gallbladder using pure alcohol, through a percutaneous gallbladder drainage tube, in a patient who developed intractable cholecystitis with obstruction of the cystic duct after receiving a biliary stent. Our results suggest that chemical ablation therapy is an effective alternative to surgical therapy for intractable cholecystitis.
