内镜下逆行胰胆管造影治疗肝移植术后胆管并发症的围术期护理

摘要

Objective Discuss the the nursing methods of biliary complication after orthotopic liver transplantation(BCAOLT)treated with endoscopic retrograde cholangiopancreatography(ERCP).Methods By preoperative preparation,preoperative psychological in-tervention,intraoperative care and postoperative observation,diet nursing,nose bile duct drainage,complications of observation and treatment,the nursing methods of 43 cases of orthotopic liver transplantation treated with ERCP were discussed.are such as.Results Symptoms and signs of 39 cases were relieved or eliminated.10 cases of complications were successfully handled and obtain satisfac-tion.%目的 探讨肝移植术后胆管并发症内镜下逆行胰胆管造影(ERCP)治疗围术期的护理.方法 回顾分析了43例肝移植术后胆管并发症ERCP治疗围术期的护理方法,通过术前一般准备、术前心理干预、术中护理配合、术后病情观察、饮食护理、鼻胆管引流及并发症观察和处理等措施,使病人较顺利度过围手术期.结果 该组39例病人症状明显缓解或完全消失,仅4例因胆管吻合口狭窄导致手术失败.结论 精细的围术期护理配合可明显提高ERCP对肝移植术后出现胆管并发症手术的成功率及病人术后恢复具有重要意义.