合并肝硬化的胆管结石ERCP治疗的护理Nursing of Choledocholithiasis Combined With Liver Cirrhosis Treated by ERCP
朱虹,刘俊丽,林一帆,高文艳
摘要(Abstract)：
目的探讨合并肝硬化的胆管结石ERCP治疗的护理方法。方法对34例经ERCP治疗的合并肝硬化的胆管结石患者的护理进行回顾性分析。结果经适当的个体化治疗和精心的护理,34例患者中28例一次性取石成功,4例因结石过大,2次取石成功;2例因结石位置偏高,未能取石成功,放置越过结石的支架内引流。术中发生食管静脉曲张合并出血1例,内窥镜括约肌切开术后出血3例,术后胰腺炎3例,一过性肝性脑病加重2例。结论适当的、个体化治疗和护理,以及严密的病情观察是患者顺利手术和康复的基础和保证。
关键词(KeyWords)： 胆管结石;肝硬化;ERCP;并发症;护理
基金项目(Foundation): 辽宁省博士启动基金(20101132)
作者(Author): 朱虹,刘俊丽,林一帆,高文艳
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