重症急性胰腺炎腹腔镜下置双套管引流的观察与护理  

Role of laparoscopic peritoneal lavage and drainage in the early treatment of severe acute pancreatitis

作　　者：叶向红[1] 嵇武[1] 虞文魁[1] 李维勤[1] 彭南海[1] 

机构地区：[1]南京军区南京总医院普通外科研究所ICU,210002

出　　处：《中国实用护理杂志》2005年第8期4-6,共3页Chinese Journal of Practical Nursing

基　　金：军队十五医药卫生科研基金重点资助项目(01Z011)

摘　　要：目的探讨重症急性胰腺炎(SAP)早期腹腔镜下置双套灌洗引流管(LPLD)的护理难点及护理措施,逐步形成护理常规。方法摸索出一套规范的腹腔镜下置双套引流管的护理方法与技巧,对21例腹腔镜下置双套引流管的SAP患者进行观察与护理。结果术后双套管引流时间(11.3±8.6)d,术后住院时间(32.5±14.6)d,20例治愈出院,1例术后4d死于多器官功能障碍综合征(MODS)。21例患者均达到预期引流效果。结论LPLD是SAP早期治疗中一种安全可行的方法,它用微创的方法达到引流的目的。Objective To evaluate nursing diffculties, nursing procedure of laparoscopic peritoneal lavage and drainage（LPLD） in the early treatment of severe acute pancreatitis（SAP） and become the nursing rutinees gradually. Methods To find out a set of regulated nursing measurement and skills of LPLD. 21 early SAP patients were treated by LPLD. Data on these two groups were collected and retrospectively analyzed.Results The lavage and drainage time after LPLD was （ 11.3 ± 8.6） d. The duration of hospital stay was（32.5 ± 14.6） d. At the same operation,20 patients leave hospitals after treatment, 1 patient died of MOPS after 4 days of surgery, 21 patients reach the drainage effect. Conclusions LPLD is feasible and safe for the early treatment of SAP. It can reach the aim of drainage through minimal invasive way.

关 键 词：重症急性胰腺炎 腹腔镜 双套管 引流技术 病情观察 护理技术 

分 类 号：R473.6[医药卫生—护理学] R657.51[医药卫生—临床医学]