急性梗阻性化脓性胆管炎患者PTCD术后护理.docVIP

精品论文 参考文献 急性梗阻性化脓性胆管炎患者PTCD术后护理 （贵州省人民医院急诊外科， 贵州 贵阳 550002） 【摘要】目的：研究急性梗阻性化脓性胆管炎患者PTCD术后护理的护理要点。方法：对17 例急性梗阻性化脓性胆管炎患者PTCD进行术后护理与病情观察及时处理并发症。结果：17 例经PTCD术结合术后护理干预，患者腹痛、发热、黄疸等急性症状缓解，未见并发症。结论：采用PTCD术，加强健康宣教及基础护理，严密观察病情，做好引流管的观察和护理，在急性梗阻性化脓性胆管炎患者治疗、护理中效果显著，可明显减小传统手术创伤，缩减并发症的发生及患者痛苦，降低病死率，改善生活质量。 【关键词】急性梗阻性化脓性胆管炎；PTCD；护理 Nursing care of patients with acute obstructive suppurative cholangitis in patients after PTCD Agricultural Jiayuan Emergency surgery Guizhou Peoples Hospital of Guizhou Guiyang 550002 [Abstract] Objective: key points of nursing care of patients with suppurative cholangitis after PTCD operation on acute obstruction. Methods: 17 cases of acute obstructive suppurative cholangitis in patients with PTCD disease observation and nursing of the postoperative complications timely treatment. Results: 17 cases of PTCD operation combined with postoperative nursing intervention in patients with abdominal pain, fever and jaundice acute symptoms, no complication. Conclusion: using the PTCD operation, to strengthen health education and basic nursing, close observation of disease, do the observation and nursing of drainage tube, in acute obstructive suppurative cholangitis treatment and nursing in patients with significant effect, it can obviously reduce the traditional surgical trauma, occurrence and pain of the patients reduce complications, reduce the mortality and improve the quality of life. [Key words] acute obstructive suppurative cholangitis; PTCD; nursing 急性梗阻性化脓性胆管炎(AOSC)是胆道系统的一种高危疾病，由结石、蛔虫、肿瘤等引起胆道系统梗阻且导致胆汁淤滞后并发细菌感染[1]。多数患者往往具有发病急，变化快，病情凶险，易出现感染性休克，甚至多器官功能障碍和衰竭，死亡率高。采用PTCD术，术后加强健康宣教及基础护理，严密观察病情，做好引流管的观察和护理，在急性梗阻性化脓性胆管炎患者治疗、护理中效果显著，可明显减小传统手术创伤，缩减并发症的发生及患者痛苦，降低病死率，改善生活质量。现将术后护理方法总结如下。 1资料与方法 1.1病例资料 本组17例中，男 13例，女 4例，年龄 38～80 岁，平均59 岁。其中肝癌 6例，胆管癌10例，胰腺癌 1例。 1.2治疗效果 均择期行 PTCD 术，术前血清胆红素 63～557.5mu;mol/L，平均 332.5mu;mol/L。引流 1w后血清胆红素平均 173.2mu;mol/L，平均下降 159.3mu;mol/L；患者全身皮肤巩膜黄染逐渐消退，食欲不断增强，大便颜色转黄。经过细致的术后护理，无一例出现并发症。 2术后护理 2.1心理护理