胰十二指肠切除术后胰肠和胰胃吻合方式胃管的观察与护理

[目的]总结胰十二指肠切除术后胰肠和胰胃吻合方式胃管的观察与护理。[方法]回顾性分析110例胰十二指肠切除术病人临床资料，分别观察胰肠或胰胃两种吻合方式胃管留置的部位、留置时间、堵管脱管处理、引流液的量和性质等。[结果]110例胰十二指肠切除术中胰胃吻合31例，胰肠吻合79例，平均留置胃管6d，计划拔管102例，因堵管拔管2例，病人自行拔管6例，重置胃管6例；胰胃吻合术胃管平均留置4d或5d，胰肠吻合术后平均6d或7d，1例病人出现胃瘫。[结论]加强胰十二指肠切除术后胰肠和胰胃吻合方式胃管的观察与护理是病人顺利康复的保证．

Observation and nursing care of gastric tube in patients undergoing pancreaticoduodenectomy and pancreaticogastrostomy way

Objective. To summarize the observation and nursing care of gastric tube in patients undergoing pancreaticoduodenectomy and pancreaticogastros- tomy way. Methods=Retrospective analysis was carried out for clinical informa- tion of 110 cases of patients undergoing pancreaticoduodenectomy,then to ob- serve of anastomosis gastric tube indwelling site, retention time, plugging de- tached process,the amount and nature of fluid drainage pancreaticojejunostomy way and Pancreatieogastrostomy way. Results： In 110 cases of patients under- going pancreaticoduodenectomy, 31 cases received pancreaticogastrostomy, 79 cases received pancreaticojejunostomy,the average time of indwelling stomach tube was 6 d, 102 cases received extubation on plan, 2 cases received extubation due to plugging,6 cases of patients selected self- extubation, reset tube in six cases. The average indwelling time of stomach tube in pancreatic anastomosis was 4 d or 5 d,the average indwelling time of stomach tube in pancreaticojeju nostomy was 6 d or 7 d, gastroparesis occurred in a patient. Conclusion： To strengthen gastric tube in patients undergoing pancreaticoduodenectomy and pancreaticogastrostomy way is a guarantee of successful rehabilitation of patients.