【摘要】 目的探讨经皮胆道支架置入治疗恶性梗阻性黄疸的护理方法。方法对21例恶性梗阻性黄疸患者在X线电视透视下行经皮胆道支架置入,做好术前各项护理、介入器材准备;术中做好介入配合,病情观察;术后进行细致护理并做好出院指导。结果21例恶性黄疸患者除1例导丝不能通过狭窄段支架致置入失败外,其余均获成功,成功率95%。术后1~2周复查谷丙转氨酶由术前的(162.62±47.29)U/L下降至(96.60±89.36)U/L,血清总胆红素由术前的(320.75±140.51)μmol/L下降至(137.96±103.95)μmol/L,直接胆红素由术前的(197.46±95.81)μmol/L下降至(85.67±62.95)μmol/L,间接胆红素由术前的(119.83±50.36)μmol/L下降至(56.76±37.37)μmol/L。上述指标比较差异均有显著性,P<0.01。结论经皮胆道支架置入是治疗恶性梗阻性黄疸的有效方法。充分做好各个护理环节,可减少并发症的发生,提高支架置入的成功率和治疗效果。更多还原

【Abstract】 Objective To study the nursing method about percutaneous biliary tract stent implantation to cure malignant obstructive jaundice.Methods Careful perioperative nursing cares and finished post-hospital direction were applied among 21 patients with malignant obstructive jaundice when by percutaneous biliary tract stent implantation.Results There were 20 patients obtained successful operation,the successful rate was 95%.The postoperative of glutamic pyruvic transaminase were(96.60±89.36) U/L,the total bilirubin was(137.96±103.95) μmmol/L,the directed bilirubin was((85.67)±62.95) μmmol/L and the indirected bilirubin was(56.76±37.37) μmmol/L.All the indexes which have mentioned above were significant lower than those of before operative,P<0.01.Conclusion Percutaneous biliary tract stent implantation can effective cure the malignant obstructive jaundice,and then improve the patients′quality of life.更多还原