Endoscopic retrograde cholangiopancreatography in with care.docVIP

 PAGE \* MERGEFORMAT 3 Endoscopic retrograde cholangiopancreatography in with care [Keywords:] ERCP procedure with care Endoscopic retrograde cholangiopancreatography (ERCP is the bipolar duodenal papilla duodenal injection of contrast agent by doing X-cholangiopancreatography in the diagnosis and treatment of pancreaticobiliary diseases is one important means. Now to our hospital in January 2008 to December -2009 ERCP in 78 patients treated Nursing summarized below. 1 Clinical data 78 patients with a variety of pancreaticobiliary duct diseases, aged 25-76 years, male 47, female 31 cases, average age 49 years, of which 47 cases Endoscopic sphincterotomy, 13 cases of nasal biliary drainage, biliary stent in 18 cases, have received timely treatment. 2 Operation and nursing care with 2.1 Preoperative Care Preoperative ERCP to patients that the purpose and necessity and the advantages and disadvantages of surgery to relieve the concerns of patients and their families to obtain cooperation. Asked in detail about patients with and without history of drug allergy, monitoring the clotting time, urine amylase and liver and kidney function test, fasting 8 hours before surgery, water deprivation. Intramuscular injection of pethidine 30 minutes before surgery 50mg, mountain buttercup Ming alkali 10mmg, stability 10mmg, effective control of intestinal motility, while oral administration of lidocaine glue. 2.2 Intraoperative Care Surgery patient was left with the prone position, assisting doctors to operate, understand the situation developing pancreatic duct, contrast agent bolus, slowly, the pressure not too large, X-ray imaging screen to see clearly when the pancreatic duct immediately stop injecting , the condition need to line EST, in accordance with the nipple shape, to help doctors choose the type cut cut, cut when the nurse must pay attention to the tightness of the surgical knife, and slowly increase the intensity, so as not