内镜下钛夹治疗上消化道非静脉曲张出血60例的护理配合  

Nursing coordination in endoscopic treatment of non-variceal upper gastrointestinal bleeding with titanium clips

作　　者：王连英[1] 

机构地区：[1]江苏省泰州市人民医院消化内镜中心,江苏泰州225300

出　　处：《实用临床医药杂志》2012年第4期26-27,30,共3页Journal of Clinical Medicine in Practice

摘　　要：目的通过对60例上消化道非静脉曲张出血患者采用金属钛夹在内镜下直接止血,总结护理配合技巧和要点。方法用金属钛夹推送器安装钛夹,对准出血部位释放金属钛夹达到止血目的。结果 60例非静脉曲张上消化道出血,根据Forrest分级标准,Ia6例,Ib38例,IIa9例,IIb7例。共用金属钛夹125枚,所有病例内镜下首次止血成功率100%,术后无不良反应及并发症。结论掌握内镜性能,正确使用金属钛夹推送器,可确保内镜下金属钛夹治疗消化道出血的成功。Objective To sum up nursing coordination skills in the treatment of nonvariceal upper gastrointestinal bleeding with titanium clips. Methods Data of 60 patients with acute nonvariceal upper gastrointestinal tract bleeding were collected. The bleeding site was identi- fied by endoscope, and both ends of the bleeding area were clipped with a titanium clip adjuster. Results Sixty patients with non variceal upper gastrointestinal bleeding were divided into Ⅰa stage （n =6）, Ⅰb stage （n =38）, Ⅱa stage （n =9） and Ⅱb stage （n =7）, according to Forrest classifi- cation standards. A total of 125 titanium clips were used and the bleedings were stopped immediately in all cases and the success rate was 100 %. No postoperative adverse reactions and complications were found. Conclusion A good command of endoscope and proper use of titanium clip adjuster can ensure the success of endoscopic treatment for gastrointestinal bleeding.

关 键 词：内镜 上消化道出血 钛夹 护理配合 

分 类 号：R473.5[医药卫生—护理学]