Nursing ERCP.doc

 PAGE \* MERGEFORMAT 5 Nursing ERCP [Keywords:] ERCP ERCP (endoscopic retrograde cholangiopancreatography catheter angiography) method, the first of the diagnostic purposes, and then be taken according to the diagnosis and further intervention. ERCP in the preoperative, intraoperative and postoperative There are many influencing factors, but ERCP care is an important guarantee for good results. The Court in March to October 2007 implemented a total of ERCP 44 patients after surgical treatment by ERCP have achieved good results [1], now nursing with the following report. A clinical data 1.1 General Information Court implementation of the ERCP 44 cases, of which 36 cases of common bile duct stones (12 cases of gallstone pancreatitis, suppurative obstructive cholangitis 24 cases), 6 cases of benign stricture of common bile duct, cholangiocarcinoma in 2 cases, belong to ERCP indications. 20 cases were male and female 24 cases; aged 33 to 75 years, with an average 52.5 years of age. 1.2 Equipment and instruments ERCP by professional doctors and nurses operating, endoscopy with duodenal mirror Fujion250 type, Olympus clever knives direct intubation and incision, COOK companies producing ultra-smooth guide wire, OlympusPSD-20 high-frequency electric generators, mechanical lithotripsy Network basket, take stone basket, balloon catheters, balloon expansion, take stone balloon, stent pusher, metal and plastic biliary stent, nasal duct, nasal duct, pancreatic duct plastic stent, ECG monitor, oxygen equipment, oxygen saturation monitor and so on. 1.3 Results 44 routine operative ERCP was successful in all, with an average hospitalization 5d. Which it granted to take stones in 31 cases, placed plastic biliary stent in 6 cases crushed stone in 2 cases, balloon dilatation in 5 cases; 12 cases of postoperative hyperamylasemia occurred, but no other complications occurred, no one cases of death, so Surgery achieved good results. 2 Preoperative Care 2.1 Psychologica