Endoscopic retrograde cholangiopancreatography sphincterotomy plus Nursing.docVIP

 PAGE \* MERGEFORMAT 9 Endoscopic retrograde cholangiopancreatography sphincterotomy plus Nursing Keywords: endoscopic retrograde cholangiopancreatography Mucant for the first time since 1968, endoscopic retrograde cholangiopancreatography (ERCP) has been successful in its basis, have been carrying out an endoscopic sphincterotomy (EST) surgery, endoscopic nasal biliary drainage (ENDB) , so that diagnosis and treatment of biliary and pancreatic diseases, significant changes have taken place at home and abroad has been widely used in clinical. Nearly a year Bachelor of 15 patients underwent ERCP surgery, of which 12 cases are common bile duct stone, obstructive jaundice, three cases of pancreatic head carcinoma. Are now working on 15 cases of ERCP EST preoperative and postoperative care measures for a report. A clinical data 1.1 General Information 15 patients, 10 males and 5 females, aged 32 to 60 years (mean 46 years). 15 patients suffered from gastrointestinal symptoms, such as: fever, nausea, vomiting, right upper abdominal pain, there is deep tenderness, skin, sclera stained significantly, 12 patients with B-Tip: common bile duct stones with expansion, MRCP prompt lower segment of common bile duct stones, common bile duct expansion in the previous paragraph. 3 cases of pancreatic head in patients with B-tips placeholder, MRCP tips pancreatic head cancer, bile duct dilatation of pancreatic duct. 1.2 Results Surgical patients were all diagnosed 15 cases of clear line of common bile duct after angiography, left and right hepatic duct, bile duct are smooth, jaundice weakened significantly, abdominal pain disappeared after the consumption of liquid no obvious discomfort, blood amylase decreased to normal. Postoperative complications: 15 patients, body temperature were lt;38 ℃, including two cases of patients with elevated serum amylase after treatment returned to normal and the remaining patients with no obvious reac