CAJ | 학술논문

目的：探讨急诊床旁内镜下胆道内引流术的手术配合及护理方法。方法：选取2012年1月～2014年3月我院肝胆外科收治的急性重症胆管炎患者22例实施急诊床旁内镜下胆道内引流术，取术前做好心理护理，术中、术后密切配合。结果：22例患者中，20例症状明显缓解，有效率为90．91％；1例因肝内胆管结石而感染控制不佳；1例因支架脱落症状再发，二次留置支架后症状缓解。所有患者均在感染控制后行内镜下十二指肠乳头括约肌切开术或开腹手术。未发生与内镜操作有关的严重并发症。结论：急诊床旁胆道内引流术，对不宜搬运的急性重症胆管炎的抢救治疗、病情缓解具有重要的临床应用价值。手术配合护理起到非常重要的作用。
목적：탐토급진상방내경하담도내인류술적수술배합급호리방법。방법：선취2012년1월～2014년3월아원간담외과수치적급성중증담관염환자22례실시급진상방내경하담도내인류술，취술전주호심리호리，술중、술후밀절배합。결과：22례환자중，20례증상명현완해，유효솔위90．91％；1례인간내담관결석이감염공제불가；1례인지가탈락증상재발，이차류치지가후증상완해。소유환자균재감염공제후행내경하십이지장유두괄약기절개술혹개복수술。미발생여내경조작유관적엄중병발증。결론：급진상방담도내인류술，대불의반운적급성중증담관염적창구치료、병정완해구유중요적림상응용개치。수술배합호리기도비상중요적작용。
Objective:To study of emergency bedside experience of cooperation and nursing of endoscopic internal biliary drainage.Methods:A retrospective analysis of 22 cases of patients with acute cholangitis of severe type emergency bedside received endoscopic internal biliary drainage .Do well the psychologi-cal care before operation,and given closely coordination intraoperation and postoperation.Results:20 patients with symptoms gradually ease,the effective rate of 90.91%.1 patients due to the presence of intrahepatic bile duct obstruction and poor infection control.All patients underwent endoscopic sphincterotomy or open operation after infection control.No severe complications related to the endoscopic operation occurred.Conclusion:Emergency bedside endoscopic in-ternal biliary drainage with excellent operation coordination and nursing of guarantee,has special advantages in the salvage therapy and remission of acute cholangitis of severe type who not easy to carry.