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经内镜治疗食管静脉曲张的配合及护理
引用本文:王书智 张凤梅 陆淼 胡冰 周岱云. 经内镜治疗食管静脉曲张的配合及护理[J]. 解放军护理杂志, 1999, 16(3): 6-8
作者姓名:王书智 张凤梅 陆淼 胡冰 周岱云
作者单位:上海第二军医大学东方肝胆外科医院内镜室!上海,200433,上海第二军医大学东方肝胆外科医院内镜室!上海,200433,上海第二军医大学东方肝胆外科医院内镜室!上海,200433,上海第二军医大学东方肝胆外科医院内镜室!上海,200433,上海第二军医大学东方肝胆外科医院内镜室!上海,200433
摘    要:探讨食管静脉曲张内镜下治疗的护理及配合问题。各类病因所致之食管静脉曲张44例,曲张程度为重度34例,中度8例,轻度2例,采用内镜下橡皮圈套扎治疗23冽,硬化注射治疗13例,硬化加套扎联合治疗5冽,平均治疗3次。治疗后复查静脉曲张重度为O、中度9例、轻度27例、完全消失8例,其中治疗后显著改善29例、轻度降低11例、无改变4例。本文对于本项技术的术前准备、术中配合、术后护理以及患者的心理护理等方面进行了讨论。结果提示:内镜下治疗食管静脉曲张是一种安全有效的方法,围手术期护理是保证治疗顺利成功的重要工作。

关 键 词:食道静脉曲张  内镜治疗  护理

Assistance and Nursing for Endoscopic Treatment of Esophageal Varices
Wang Shuzhi, Zhang Fengmei, Lu Miao, Hu Bing, Zbou Dalyun. Assistance and Nursing for Endoscopic Treatment of Esophageal Varices[J]. Nursing Journal of Chinese People's Liberation Army, 1999, 16(3): 6-8
Authors:Wang Shuzhi   Zhang Fengmei   Lu Miao   Hu Bing   Zbou Dalyun
Abstract:The objective of this study was to investigate the assistance and nursing problems during endoscopicprocedure for esophageal varices. Forty-four patients with esophageal varices caused by different diseases weretreated by endoscopy. The degree of varices were severe in 34 cases, midium in 8 cases and mild in 2 cases- Themethods used included endoscopic varices ligation in 23 cases,endoscopic varices injection in l3 cases and combinedtherapy in 5 cases. After treatment no severe varices were found in the patients, among them 29 had remarkableimprovement in the degree of varices, ll partial improvement and only 4 had no change in their condition- The papera1so discusses the problems of preparation, assistance, post -procedure management and psychotherapy- The resultsindicate that:endoscopic therapy for esophageal varices is a safe and effective method. Perioperative nursing is a veryimportant measure for the success of the procedure-
Keywords:esophageal varices  endoscopic therapy  nursing
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