摘要
目的探讨老年患者十二指肠乳头切开取石术(endoscopic sphincterotomy,EST)术后发生急性坏疽性胆囊炎(acute gangre-nous cholecystitis,AGC)的围术期护理。方法回顾性分析2003年6月至2007年1月我院收治的1 066例行ERCP+EST患者的临床病理资料,对其中的16例老年AGC患者的围术期护理措施进行回顾性分析。结果16例老年患者ERCP+EST术后并发AGC,发生率为1.5%。16例老年患者经过手术治疗和围术期精心护理均成功治愈,无死亡病例。结论AGC患者术前可发生胆囊穿孔、严重全身感染等情况;外科手术操作困难,手术中容易误伤胆道系统和肠管;术后发生胆瘘和出血的风险相对较高,早期外科手术和围术期并发症的密切观察和护理是保证AGC成功治愈的关键。
Objective To investigate the perioperative nursing of acute gangrenous cholecystitis （AGC） after endoscopic sphincterotomy （EST）. Methods The perioperative nursing data of 16 elderly patients with AGC out of 1 066 patients undergoing endoscopic retrograde cholangiopancreatography （ERCP）and EST from Jun. 2003 to Jan. 2007 were studied retrospectively to discuss the perioperative nursing. Results AGC following ERCP and EST occurred in 16 cases（1. 5%）. A total of 16 cases were completely recovered with operations and perioperative nursing without death. Conclusions Perforations of gallbladder and severe systemic infections might develop before AGC operations. The operating difficulties in AGC operation could accidentally injure the biliary system and intestinal canal. The occurrence of biliary fistula and bleeding were comparatively higher. Timely surgical operation and nursing of perioperative complications played a crucial role to the effective treatment of AGC.
出处
《解放军护理杂志》
2009年第11期33-34,36,共3页
Nursing Journal of Chinese People's Liberation Army
