71例恶性梗阻性黄疸介入治疗的围手术期护理  

The perioperative nursing care of patients with malignant obstructive jaundice treated with interventional therapy:clinical experience in 71 cases

作　　者：张华平[1] 陶然[1] 张丽琴[1] 郑文萍[1] 蒋蕾[1] 

机构地区：[1]昆明市昆明医学院第三附属医院微创介入医学科,650118

出　　处：《介入放射学杂志》2011年第2期154-156,共3页Journal of Interventional Radiology

摘　　要：目的总结71例恶性梗阻性黄疸患者经皮穿刺胆道引流的围手术期护理经验。方法认真细致地做好术前准备,重视心理护理,加强营养支持,保证患者的体质能耐受手术。术后严密监测生命体征,观察黄疸消退情况。保持引流管通畅,做好穿刺局部及引流管的护理。结果 71例恶性梗阻性黄疸患者术前准备充分,术后护理得当,黄疸消退明显,胆道梗阻解除,肝功能改善,患者生活质量提高,存活时间延长,取得满意的临床护理效果。结论加强围手术期护理可以使行经皮穿刺胆管引流术的患者取得较好的治疗和护理效果。Objective To summarize the clinical experience of perioperative nursing for patients with malignant obstructive jaundice who were treated with percutaneous transhepatic biliary drainage.Methods Sufficient preoperative preparation,careful psychological nursing,serious postoperative observation of vital signs,enhancement of the nutritional support,care of the puncture site and drainage tube,maintenance of the electrolyte balance,correct evaluation of the jaundice,etc.were strictly carried out in all 71 patients with malignant obstructive jaundice who received percutaneous transhepatic biliary drainage.Results Because the sufficient preoperative preparation and postoperative nursing work were seriously carried out,the obstructive jaundice was well relieved in all patients,the liver function and the living quality were markedly improved and the survival time was prolonged.Conclusion It is of great clinical significance to intensify the perioperative nursing care for patients with malignant obstructive jaundice who are receiving interventional therapy.

关 键 词：恶性梗阻性黄疸 介入治疗 护理 

分 类 号：R473.73[医药卫生—护理学]