内镜下胆道支架治疗恶性胆道梗阻临床观察与护理

目的:总结通过纤维十二指肠镜逆行胆胰管造影(ERCP)放置胆道内支架治疗晚期恶性胆道梗阻的临床观察和护理.方法:32例恶性梗阻性黄疸的患者,均行ERCP(经内镜逆行胰胆管造影)术,根据情况置人不同支架.结果:术后黄疸逐渐消退,皮肤瘙痒等症状消失或减轻.插管成功的30例患者血清总胆红素从(170.84±101.72)μmol/L下降到术后l周(105.42±82.44)μmol/L,发生并发症2例,其中急性胰腺炎1例,胆管炎l例,并发症发生率均为3.33％.结论:全部患者经过精心护理和健康教育,临床症状显著缓解,生存质量明显改善.

Clinical observation and nursing of malignant biliary obstruction treated by endoscopic biliary stent Insertion

Objective:To summarize the nursing of biliary tract endoprosthesis through endoscopic retrograde cholangiopan creatography(ERCP) on unresectable malignant biliary obstruction(MBO).Methods: To retrospectively review 32 patients with malignant obstructive jaundice receiving ERCP.Results: Different biliary stents were placed according to the patient’s conditions.After stent was implanted,icteric and itch of skin were relieved quickly in 30 patients with malignant biliary obstruction.The serum level of total bilirubin decreased from(170.84±101.72)μmol/L to(105.42±82.44)μmol/L after treatment.The complications included ERCP associated pancreatitis(1 case,3.33%) and cholangitis(1 case,3.33%).Conclusion: Better nursing care and health education are the key points to improve clinical symptoms and promoting the patients’ quality of life.