Surgery coordination and nursing of EST for treating elderly patients with choledocholithiasis
10.3760/cma.j.issn.1672-7088.2010.06.060
- VernacularTitle:内镜下十二指肠乳头括约肌切开术治疗老年胆总管结石的手术配合及护理
- Author:
Liping ZHANG
;
Juan DONG
- Publication Type:Journal Article
- Keywords:
Elderly patients;
Choledocholithiasis;
Nursing;
Endoscopic sphincterotomy
- From:
Chinese Journal of Practical Nursing
2010;26(17):36-38
- CountryChina
- Language:Chinese
-
Abstract:
Objeetive To investigate the clinical effects and nursing interventions of endoscopic sphincterotomy(EST)for treating elderly patients with choledocholithiasis.Methods The clinical data of 73 cases of patients operated by EST were retrospectively analyzed.Before surgery the psychological nursing,examination and preparation were meticulously performed,the changes of vital signs and nursing were closely observed during surgery,the respiratory tract nursing,cardiovascular disease and diabetes nursing,pain nursing and complications treatment were performed after surgery.Results There were 69cases of 73 patients were successful,the success rate was 94.5%;8 cases of concurrent hyperamylasemia were given conservative treatment and had clinical recovery;2 cases of fever occurred and white blood cell count elevated and were treated by effective antibiotic treatment;there was no perforation,wound bleeding and death.Conclusions Using the EST to treat the choledocholithiasis of elderly patients has good clinical effects and low risk;through careful observation and nursing,can reduce complications,promote the patients'early recovery and improve quality of life of elderly patients with choledocholithiasis.
