Nursing care of patients undergoing endoscopic ultrasonography guided biliary drainage in the treatment of malignant obstructive jaundice
10.3761/j.issn.0254-1769.2018.03.012
- VernacularTitle:超声内镜引导下胆道引流术治疗恶性梗阻性黄疸患者的护理
- Author:
Cui CHEN
1
;
Bo SUN
;
Shuzhi WANG
;
Shuping WANG
;
Kunke WANG
;
Bing HU
;
Zhixia YE
Author Information
1. 200438,上海市 第二军医大学东方肝胆外科医院内镜科
- Keywords:
Jaundice,Obstructive;
Biliary Tract;
Drainage;
Nursing Care
- From:
Chinese Journal of Nursing
2018;53(3):310-313
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized nursing points for caring 12 cases undergoing endoscopic ultrasonography guided biliary drainage(EUS-BD) in the treatment of malignant obstructive jaundice.All patients received EUS-BD after unsuccessful endoscopic retrograde cholangiopancreatography,including 5 patients undergoing EUS guided hepaticogastrostomy(EUS-HGS) and 7 patients undergoing EUS guided choledochoduodenostomy(EUS-CDS).Nursing points included:preoperative assessment,psychological care,preoperative gastrointestinal preparation,intraoperative cardiopulmonary function monitoring,collaboration in operation,postoperative monitoring,observation and nursing care for complications such as bleeding,bile leakage and the others.The average hospital stay was 10～16 d.Two patients developed complications(16.67％).A patient undergoing EUS-HGS developed bile leakage,biliary peritonitis,and pneumoperitoneum after the procedure,but was successfully recovered by placement of a second fully covered self-expendable metal stent in the primary metal stent,percutaneous abdominal drainage and antibiotic treatment.A patient undergoing EUS-CDS developed gastrointestinal bleeding,and was successfully treated with radiological intervention.
