CAJ | 학술논문

目的：探讨恶性梗阻性黄疸患者胆道射频消融(RFA)联合支架植入术后的护理。方法回顾性分析9例接受胆道RFA治疗的恶性梗阻性黄疸患者的术后护理,观察和分析术后并发症及护理干预措施。结果9例患者均完成胆道RFA,并在消融术后植入胆道支架。术后发生胆漏1例,胆道出血2例,胆道感染2例。发生胆漏者术后1周死亡,其余患者经对症治疗均好转,随访1个月内一般情况均较好。结论胆道RFA术后患者的护理主要在于预防胆道穿孔、出血、感染等并发症,重要的是术后严密观察和护理,早期发现并及时处理,从而降低并发症导致严重后果的发生率,促进患者早日康复。
목적：탐토악성경조성황달환자담도사빈소융(RFA)연합지가식입술후적호리。방법회고성분석9례접수담도RFA치료적악성경조성황달환자적술후호리,관찰화분석술후병발증급호리간예조시。결과9례환자균완성담도RFA,병재소융술후식입담도지가。술후발생담루1례,담도출혈2례,담도감염2례。발생담루자술후1주사망,기여환자경대증치료균호전,수방1개월내일반정황균교호。결론담도RFA술후환자적호리주요재우예방담도천공、출혈、감염등병발증,중요적시술후엄밀관찰화호리,조기발현병급시처리,종이강저병발증도치엄중후과적발생솔,촉진환자조일강복。
Objective To summarize the clinical nursing experience for patients with malignant obstructive jaundice after receiving percutaneous biliary radiofrequency ablation (RFA) and stent implantation. Methods The postoperative nursing experience in 9 patients with malignant obstructive jaundice who received percutaneous biliary RFA together with stent implantation were retrospectively analyzed. The postoperative complications and the nursing intervention measures were analyzed and evaluated. Results Biliary RFA and subsequent stent implantation were successfully carried out in all 9 patients. After the procedure, biliary fistula occurred in one patient, biliary hemorrhage in 2 patients and biliary infection in 2 patients. The patient, who developed biliary fistula, died one week later, and the clinical conditions in the remaining 4 patients were improved after symptomatic treatment. During the follow-up period of one month, the patients were in good condition. Conclusion The main purpose of postoperative nursing for patients after receiving percutaneous biliary RFA is to prevent the occurrence of bile duct perforation, hemorrhage, infection, etc. It is very important to keep the patients under close observation and comprehensive nursing so as to make an early detection and timely treatment of such complications, thus to reduce the incidence of complications causing serious consequences as well as to promote an early recovery.