无痛下经内镜逆行性胰胆管造影治疗120例临床分析  

Under Painless Endoscopic Retrograde Cholangiopancreatography Clinical Analysis of 120 Cases of Treatment

作　　者：朱洪春[1] 王淑萍[1] 宋其海[1] 

机构地区：[1]牡丹江医学院第二附属医院消化内科,牡丹江157000

出　　处：《中国医药导刊》2009年第4期552-553,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨无痛下经内镜逆行性胰胆管造影治疗的优点。方法:对120例患者采用无痛下经内镜逆行性胰胆管造影治疗,静注芬太尼、异丙芬后,进行经内镜逆行性胰脾管造影治疗,观察血压、心率、呼吸,血氧饱和度,如术中出现呼吸暂停、血氧饱和度下降、心率减慢、血压下降等情况及时对症处理。结果:本组120例患者均完成经内镜逆行性胰胆管造影及治疗,成功率为100%,所有患者无术中记忆,检查终末未发生严重不良反应。结论:无痛下经内镜逆行性胰胆管造影治疗可以大大减少普通经内镜逆行性胰胆管造影治疗给患者带来的痛苦,该方法安全可靠。Objective： Under painless endoscopic retrograde cholangiopancreatography therapeutic advantages. Methods： 120 Cases of patients with mining Used under painless endoscopic retrograde cholangiopancreatography treatment,intravenous fentanyl, after isoprenaline fun for endoscopic retrograde cholangiopancreatography treatment ,observation of blood pressure, heart rate, respiration, oxygen saturation, such as surgery appeared in apnea, oxygen saturation decreased heart rate, blood pressure reduction in symptomatic timely processing. Results： In this group were 120 cases of patients with complete endoscopic retrograde cholangiopancreatography and treatment, the success rate was 100%, all patients without intraoperative memory, check the terminal has been no serious adverse reactions. Conclusions： Under painless endoscopic retrograde cholangiopancreatography treatment can significantly reduce the ordinary endoscopic retrograde cholangiopancreatography in patients with treatment for the pain caused by the method safe and reliable.

关 键 词：经内镜逆行性胰胆管造影治疗 无痛 芬太尼 异丙芬 

分 类 号：R57[医药卫生—消化系统]