CAJ | 학술논문

目的：了解双气囊电子小肠镜对于不明原因消化道出血病因诊断情况及其护理体会。方法对86例不明原因消化道出血患者实施双气囊电子小肠镜检查，术前做好物品和肠道准备；术中娴熟配合；术后严密病情观察。结果本组86例患者均成功完成小肠镜检查，无发生穿孔、出血等严重并发症。阳性检出率83.7%。结论双气囊电子小肠镜对于不明原因消化道出血具有较高病因诊断准确率。评估患者病情，做好术前和肠道准备，医护娴熟的配合，严密病情观察对双气囊电子小肠镜检查成功具有重要意义。
목적：료해쌍기낭전자소장경대우불명원인소화도출혈병인진단정황급기호리체회。방법대86례불명원인소화도출혈환자실시쌍기낭전자소장경검사，술전주호물품화장도준비；술중한숙배합；술후엄밀병정관찰。결과본조86례환자균성공완성소장경검사，무발생천공、출혈등엄중병발증。양성검출솔83.7%。결론쌍기낭전자소장경대우불명원인소화도출혈구유교고병인진단준학솔。평고환자병정，주호술전화장도준비，의호한숙적배합，엄밀병정관찰대쌍기낭전자소장경검사성공구유중요의의。
Objective To explore the etiological diagnosis of obscure gastrointestinal bleeding in patients undergoing double-balloon enteroscopy and summarize the nursing strategies.Methods Eighty-six patients with obscure gastrointestinal bleeding underwent double-balloon enteroscopy. Before operation,preparations of surgical stuff and bowel were conducted,during the operation,surgical cooperation was carefully performed and after the surgery and the patients were closely observed for prevention of complications.Results All the patients lived through the enteroscopy without any complications of perforation and bleeding. The positive detection rate was 83.7%.Conclusion Double-balloon enteroscopy is of great accuracy etiologically for the diagnosis of obscure gastrointestinal bleeding. The nursing measures including right evaluation of patients' condition,careful pre-operational, proficient surgical cooperation and close observation are of great significance for the success of double-balloon enteroscopy.