按摩与康复医学
按摩與康複醫學
안마여강복의학
Chinese Manipulation & Rehabilitation Medicine
2014年
7期
142-143,144
,共3页
肝胆外科手术%鼻胃管引流%一期缝合术%护理
肝膽外科手術%鼻胃管引流%一期縫閤術%護理
간담외과수술%비위관인류%일기봉합술%호리
hepatobiliary surgery%nasogastric tube drainage%primary suture%nursing
目的：探讨鼻胃管引流在胆总管切开一期缝合术中的护理体会。方法：回顾性分析我院2010年5月~2012年5月门诊收住入院的通过内置鼻胆管引流实施腹腔镜或开腹胆总管探查后一期缝合胆总管治疗的70例胆道结石患者的临床资料。结果：70例患者手术均获成功，鼻胃管放置时间为4.6±1.0天；63例（90.0%）患者认为引流效果满意；5例患者引流不畅后应用注射器抽生理盐水冲洗后引流顺利；2例患者发生出血，均为胆管癌患者，应用去甲肾上腺素后症状缓解，均无护理并发症发生。结论：有针对性地提出护理问题并采取相应护理措施，重视并做好基础护理是保证手术成功的前提。
目的：探討鼻胃管引流在膽總管切開一期縫閤術中的護理體會。方法：迴顧性分析我院2010年5月~2012年5月門診收住入院的通過內置鼻膽管引流實施腹腔鏡或開腹膽總管探查後一期縫閤膽總管治療的70例膽道結石患者的臨床資料。結果：70例患者手術均穫成功，鼻胃管放置時間為4.6±1.0天；63例（90.0%）患者認為引流效果滿意；5例患者引流不暢後應用註射器抽生理鹽水遲洗後引流順利；2例患者髮生齣血，均為膽管癌患者，應用去甲腎上腺素後癥狀緩解，均無護理併髮癥髮生。結論：有針對性地提齣護理問題併採取相應護理措施，重視併做好基礎護理是保證手術成功的前提。
목적：탐토비위관인류재담총관절개일기봉합술중적호리체회。방법：회고성분석아원2010년5월~2012년5월문진수주입원적통과내치비담관인류실시복강경혹개복담총관탐사후일기봉합담총관치료적70례담도결석환자적림상자료。결과：70례환자수술균획성공，비위관방치시간위4.6±1.0천；63례（90.0%）환자인위인류효과만의；5례환자인류불창후응용주사기추생리염수충세후인류순리；2례환자발생출혈，균위담관암환자，응용거갑신상선소후증상완해，균무호리병발증발생。결론：유침대성지제출호리문제병채취상응호리조시，중시병주호기출호리시보증수술성공적전제。
To investigate the nursing experience of nasogastric tube drainage for primary suture of choledoch incision. Methods:Clinical data of 70 biliary calculi outpatient treated with nasogastric tube drainage for primary suture of choledoch incision in our hospital form May 2010 to May 2012 were retrospectively analyzed. Results:70 cases succeeded in operation, placement time of nasogastric tube was 4.6 ± 1.0 days;63 cases (90%) were satisfied with drainage;5 cases of patients with poor drainage were well drainage after the normal saline flushing with syringe;2 patients with cholangiocarcinoma bled, which were remission after applied with norepinephrine, all without nursing complications. Conclusion:The prerequi-site of successful operation is with corresponding nursing measures for pertinency nursing problems and attach importance to basic nursing and achieve.
